Timothy James Mitzen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

120106 Issued in MN

Practice address

7000 York Ave S
T-2313
Edina, MN 55435-4213

Phone

(952) 925-4250

Fax

(952) 252-1761

NPI assigned

Jun 20, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1669768495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 LARPENTEUR AVE W",
            "address_2": "APT 2B",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551135720",
            "telephone_number": "303-359-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 YORK AVE S",
            "address_2": "T-2313",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354213",
            "telephone_number": "952-925-4250",
            "fax_number": "952-252-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZEN",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Murray Mitchell, M. D.
• Krista Marie Mitchell, PTA, CLT
• Margaret M. Mitchell, D.C.
• Patricia L Mitchell, GNP
• Richard Alan Mitchell, M.D.
• Alan Deming Mjolsnes, D.D.S.
• MN Mental Health Consulting LLC
• Meaghan Moakley
• Mohamed Abdulkadir Moalin Ali
• Mobile Diagnostic Imaging, Inc

• Pharmacist in Edina, MN
• Providers in Edina, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.