Douglas Kaasa, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

115112 Issued in MN

Practice address

1305 Highway 10 W
Detroit Lakes, MN 56501-2214

Phone

(218) 847-9755

Fax

(847) 747-1701

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1609239326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HIGHWAY 10 W",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012214",
            "telephone_number": "218-847-9755",
            "fax_number": "847-747-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HIGHWAY 10 W",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012214",
            "telephone_number": "218-847-9755",
            "fax_number": "847-747-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAASA",
        "first_name": "DOUGLAS",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115112",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "3549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA STATE PHARMACY LICENSE",
            "identifier": "115112",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.