Matthew Lee Dohman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

121854 Issued in MN

Practice address

810 Maryland Ave E
Saint Paul, MN 55106-2511

Phone

(651) 774-1005

Fax

(651) 776-5117

NPI assigned

Mar 4, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Grand St Paul CVS LLC

  • Pharmacy
  • Plymouth, MN
  • NPI 1437620903
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1659906261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062511",
            "telephone_number": "651-774-1005",
            "fax_number": "651-776-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062511",
            "telephone_number": "651-774-1005",
            "fax_number": "651-776-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHMAN",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "121854",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Doerr
• Jason S Doescher, MD
• Htee Doh
• William J. Doherty, PH.D.
• Ashley Dohlen, M.D.
• Kristin Noel Dohmeier, RN
• Ann L Dohrmann, CNM
• Angela Edith Dolan, MA, OTR/L
• Emily Anne Dolan, DDS
• Elizabeth Anna Doll, PT

• Pharmacist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.