Individual provider Active NPI

Douglas Paul Herold, RPH

  • Pharmacist
  • Rochester, MN
National Provider Identifier
1659573582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9119 Issued in AZ
Practice address
2110 East Center St
Federal Medical Center Pharmacy Department
Rochester, MN 55903
Phone
(507) 424-5180
Fax
(507) 287-9604
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9119 AZ Primary

Addresses

Primary practice location

2110 East Center St
Federal Medical Center Pharmacy Department
Rochester, MN 55903

Mailing address

125 Twiford St SW
Chatfield, MN 55923-1233
Phone (507) 867-3807

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9119AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
US Department of Justice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659573582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TWIFORD ST SW",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231233",
            "telephone_number": "507-867-3807",
            "fax_number": "507-287-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EAST CENTER ST",
            "address_2": "FEDERAL MEDICAL CENTER PHARMACY DEPARTMENT",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55903",
            "telephone_number": "507-424-5180",
            "fax_number": "507-287-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "9119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; 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.