Active NPI
Duane Koski, PHARMD
- Pharmacist
- Cambridge, MN
National Provider Identifier
1760926232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122851
- Practice address
- 100 Opportunity Blvd N
Cambridge, MN 55008-5822 - Phone
- (763) 689-0185
- NPI assigned
- Dec 18, 2016
- Sex
- Male
- 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 | 122851 | MN | Primary |
Addresses
Primary practice location
100 Opportunity Blvd N
Cambridge, MN 55008-5822
Mailing address
12175 Vermillion St NE Unit B
Blaine, MN 55449-5684
Phone (612) 251-1799
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122851 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Burnsville, MN
- NPI 1093517914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482019200000",
"number": "1760926232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12175 VERMILLION ST NE UNIT B",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495684",
"telephone_number": "612-251-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OPPORTUNITY BLVD N",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550085822",
"telephone_number": "763-689-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKI",
"first_name": "DUANE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-18",
"last_updated": "2016-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.