Fredrick Victor Parduhn, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

112848 Issued in MN

Practice address

425 Sandy LN
Red Wing, MN 55066-1759

Phone

(651) 410-4300

NPI assigned

Sep 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1609424712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SANDY LN",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661759",
            "telephone_number": "651-410-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SANDY LN",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661759",
            "telephone_number": "651-410-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUHN",
        "first_name": "FREDRICK",
        "middle_name": "VICTOR",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MN",
            "license": "112848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fparduhn@charter.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 Sandy Ln",
            "city": "Red Wing",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550661759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ambulatory Care Pharmacist in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Ambulatory Care Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.