Gabriel Robert Dean, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

117284 Issued in MN

Practice address

19216 Freeport St NW
Elk River, MN 55330-1265

Phone

(763) 241-8112

Fax

(763) 241-8814

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Supervalu Pharmacies Inc

  • Community/Retail Pharmacy
  • Elk River, MN
  • NPI 1932214079
  NPD (past)
• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1801075064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19216 FREEPORT ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301265",
            "telephone_number": "763-241-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19216 FREEPORT ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301265",
            "telephone_number": "763-241-8112",
            "fax_number": "763-241-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "GABRIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kay Dahlseid
• Matthew David Dahlson
• Donald Damborg, M.A., LMFT
• Anthony Michael Damiani
• DBT and Emdr Specialists, P.a.
• Angela K Dee-Ellingson, PT
• Dekals Home Care
• Cyndie Deridder, LICSW
• Thomas Dewall, D.C.
• Direct Home Care Services LLC

• Pharmacist in Elk River, MN
• Providers in Elk River, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.