Patrick Sean McDonough
Individual provider Active NPI Pharmacist · Kasson, MN
NPI 1821728221 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1821728221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 116257 (MN)
- Practice address
- 19 2ND Ave NW
Kasson, MN 55944-4002 - Phone
- (507) 634-3341
- Fax
- (507) 634-4067
- NPI assigned
- Jun 16, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116257 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 116257 | MN | Yes |
Addresses
Primary practice location
19 2ND Ave NW
Kasson, MN 55944-4002
Mailing address
19 2ND Ave NW
Kasson, MN 55944-4002
Phone (507) 634-3341
Other providers in Kasson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.