Courtney Ackerman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

125301 Issued in MN

Practice address

113 Waite Ave N
Waite Park, MN 56387-1246

Phone

(320) 259-1148

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Coborns Inc

  • Community/Retail Pharmacy
  • Long Prairie, MN
  • NPI 1457423121
  NPD (past)
• Coborns Inc

  • Community/Retail Pharmacy
  • Pipestone, MN
  • NPI 1982968640
  NPD (past)
• Coborns Inc

  • Community/Retail Pharmacy
  • Aberdeen, SD
  • NPI 1639966286
  NPD (past)

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1831865971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 75TH ST NE",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563799712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WAITE AVE N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871246",
            "telephone_number": "320-259-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 8th St SW",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561641078",
            "country_code": "US",
            "telephone_number": "507-825-0091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "MN",
            "postal_code": "553714757",
            "country_code": "US",
            "telephone_number": "763-389-8421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Lake St S",
            "address_purpose": "LOCATION",
            "city": "Long Prairie",
            "state": "MN",
            "postal_code": "563471545",
            "country_code": "US",
            "telephone_number": "320-732-2915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "COURTNEY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6343",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashkiro Adan
• Hassan Amin Aden Jr.
• Oluwatoyin Adetunji
• Aegis Group Practice, LLC

• Pharmacist in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.