Individual provider Active NPI

Denise M Trittin, RPH

  • Pharmacist
  • Cannon Falls, MN
National Provider Identifier
1740515170
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
115073 Issued in MN
Practice address
108 4TH St N
Cannon Falls, MN 55009-2036
Phone
(507) 263-2881
Fax
(507) 263-8702
NPI assigned
Oct 2, 2009
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 115073 MN Primary
Pharmacist 183500000X 12483-040 WI

Addresses

Primary practice location

108 4TH St N
Cannon Falls, MN 55009-2036

Mailing address

108 4TH St N
Cannon Falls, MN 55009-2036
Phone (507) 263-2881

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
115073MNMDPharmacist
12483-040WIMDPharmacist

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": "1740515170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 4TH ST N",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550092036",
            "telephone_number": "507-263-2881",
            "fax_number": "507-263-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 4TH ST N",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550092036",
            "telephone_number": "507-263-2881",
            "fax_number": "507-263-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITTIN",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115073",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12483-040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon Falls, 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.