Individual provider Active NPI

Brian Matthew Thone, PHARM.D.

  • Pharmacist
  • Minnetonka, MN
National Provider Identifier
1760769855
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
120627 Issued in MN
Practice address
13201 Ridgedale Dr
Minnetonka, MN 55305-1809
Phone
(952) 542-8266
Fax
(952) 542-8266
NPI assigned
Nov 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 120627 MN Primary

Addresses

Primary practice location

13201 Ridgedale Dr
Minnetonka, MN 55305-1809

Mailing address

13201 Ridgedale Dr
Minnetonka, MN 55305-1809
Phone (952) 542-8266

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

State licenses

LicenseStateTypeSpecialty
120627MNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1760769855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 RIDGEDALE DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051809",
            "telephone_number": "952-542-8266",
            "fax_number": "952-542-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 RIDGEDALE DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051809",
            "telephone_number": "952-542-8266",
            "fax_number": "952-542-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONE",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.