Active NPI
James Eugene Gannon, PHARM.D. RPH
- Pharmacist
- Northfield, MN
National Provider Identifier
1750650016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117178
- Practice address
- 700 Division St S
Northfield, MN 55057-2427 - Phone
- (507) 645-4455
- NPI assigned
- Dec 15, 2011
- Last updated
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 117178 | MN | Primary |
Addresses
Primary practice location
700 Division St S
Northfield, MN 55057-2427
Mailing address
8922 Woodhill Dr
Savage, MN 55378-3139
Phone (952) 445-5440
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117178 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1750650016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8922 WOODHILL DR",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553783139",
"telephone_number": "952-445-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 DIVISION ST S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572427",
"telephone_number": "507-645-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "JAMES",
"middle_name": "EUGENE",
"credential": "PHARM.D. RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.