Individual provider Active NPI

Dylan Schmitz, PHARMD

  • Pharmacist
  • Rochester, MN
National Provider Identifier
1619599966
Registry record updated May 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
123996 Issued in MN
Practice address
4611 Maine Ave SE
Rochester, MN 55904-6929
Phone
(507) 206-5021
NPI assigned
May 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 123996 MN Primary

Addresses

Primary practice location

4611 Maine Ave SE
Rochester, MN 55904-6929

Mailing address

4611 Maine Ave SE
Rochester, MN 55904-6929
Phone (507) 206-5021

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rx17387@cvshealth.com

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

LicenseStateTypeSpecialty
123996MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1619599966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 MAINE AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046929",
            "telephone_number": "507-206-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 MAINE AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046929",
            "telephone_number": "507-206-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "DYLAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-09",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rx17387@cvshealth.com",
            "affiliation": "N",
            "address_1": "4611 Maine Ave SE",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559046929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.