Active NPI
Paulette Fay Knutson, R.PH.
- Pharmacist
- Fargo, ND
National Provider Identifier
1720186729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113132-1
- Practice address
- 2101 Elm St N
Dept of Veterans Affairs 11C-B
Fargo, ND 58102-2417 - Phone
- (701) 239-3700
- Fax
- (701) 237-2625
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 113132-1 | MN | Primary |
Addresses
Primary practice location
2101 Elm St N
Dept of Veterans Affairs 11C-B
Fargo, ND 58102-2417
Mailing address
1209 48TH Ave S
Fargo, ND 58104-6438
Phone (701) 241-9721
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
| License | State | Type | Specialty |
|---|---|---|---|
| 113132-1 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720186729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 48TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581046438",
"telephone_number": "701-241-9721",
"fax_number": "701-298-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ELM ST N",
"address_2": "DEPT OF VETERANS AFFAIRS 11C-B",
"city": "FARGO",
"state": "ND",
"postal_code": "581022417",
"telephone_number": "701-239-3700",
"fax_number": "701-237-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "PAULETTE",
"middle_name": "FAY",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113132-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
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.