Active NPI
Nathaniel B Willgohs, PHARM.D
- Pharmacotherapy Pharmacist
- Cloquet, MN
National Provider Identifier
1609214758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 115987
- Practice address
- 707 Highway 33 S
Suite12
Cloquet, MN 55720-2696 - Phone
- (218) 879-6768
- Fax
- (218) 879-5313
- NPI assigned
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 115987 | MN | Primary |
Addresses
Primary practice location
707 Highway 33 S
Suite12
Cloquet, MN 55720-2696
Mailing address
707 Highway 33 S
Suite 12
Cloquet, MN 55720-2696
Phone (218) 879-6768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115987 | MN | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Enterprises Inc | Past | Accepting new patients | |
| White Drug Enterprises Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cloquet, MN
- NPI 1053400655
-
- Long Term Care Pharmacy
- New Berlin, WI
- NPI 1033521109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1609214758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 HIGHWAY 33 S",
"address_2": "SUITE 12",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202696",
"telephone_number": "218-879-6768",
"fax_number": "218-879-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HIGHWAY 33 S",
"address_2": "SUITE12",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202696",
"telephone_number": "218-879-6768",
"fax_number": "218-879-5313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLGOHS",
"first_name": "NATHANIEL",
"middle_name": "B",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MN",
"license": "115987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.