NPIMap

Individual provider Active NPI

Donald Guy Perrin, R.PH.

  • Pharmacist
  • Pelican Rapids, MN
National Provider Identifier
1689909079
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
112381 Issued in MN
Practice address
11 N Broadway
Pelican Rapids, MN 56572-4138
Phone
(218) 863-1441
Fax
(218) 863-1558
NPI assigned
Oct 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 112381 MN Primary

Addresses

Primary practice location

11 N Broadway
Pelican Rapids, MN 56572-4138

Mailing address

11 N Broadway
P.O. Box 621
Pelican Rapids, MN 56572-4138
Phone (218) 863-1441

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
112381MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican Drug Inc Past Accepting new patients
Pelican Drug Inc Past Accepting new patients

Organizations & group practices 2

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": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1689909079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N BROADWAY",
            "address_2": "P.O. BOX 621",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565724138",
            "telephone_number": "218-863-1441",
            "fax_number": "218-863-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N BROADWAY",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565724138",
            "telephone_number": "218-863-1441",
            "fax_number": "218-863-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "DONALD",
        "middle_name": "GUY",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelican Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.