Active NPI
Ashley Maxine Tollefson
- Pharmacist
- Cloquet, MN
National Provider Identifier
1740892991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121879
- Practice address
- 215 Doddridge Ave
Cloquet, MN 55720-2372 - Phone
- (218) 879-0091
- NPI assigned
- Aug 19, 2020
- Last updated
- Aug 19, 2020
- 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 | 121879 | MN | Primary |
Addresses
Primary practice location
215 Doddridge Ave
Cloquet, MN 55720-2372
Mailing address
215 Doddridge Ave
Cloquet, MN 55720-2372
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121879 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
215 Doddridge Ave
Cloquet, MN 55720
Phone (218) 879-0091
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1740892991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 DODDRIDGE AVE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 DODDRIDGE AVE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202372",
"telephone_number": "218-879-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLEFSON",
"first_name": "ASHLEY",
"middle_name": "MAXINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.