Peter E. Sandelin

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

119517 Issued in MN

Practice address

4621 E Superior St
Duluth, MN 55804-2338

Phone

(218) 786-3784

Fax

(218) 525-7338

NPI assigned

Feb 9, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1649924523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042338",
            "telephone_number": "218-786-3784",
            "fax_number": "218-525-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042338",
            "telephone_number": "218-786-3784",
            "fax_number": "218-525-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558072737",
            "country_code": "US",
            "telephone_number": "218-786-3700",
            "fax_number": "218-786-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDELIN",
        "first_name": "PETER",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MN",
            "license": "119517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Salo, RN, CNP
• Benjamin Sam, DPT
• Jeffrey Neil Samuelson, M.D.
• Sara San Felipo, CNP
• Megan Elaine Sandberg, MD
• Wendy Hunt Sandelin
• Kathryn Jane Sandell, APRN, CNM
• Daniel Sanders
• Carly Zea Sandmann, LICSW
• Katie Jayne Sandquist

• Ambulatory Care Pharmacist in Duluth, MN
• Providers in Duluth, 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 Feb 9, 2022; 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.