Connor Lansing Birkel, PHARMD
Individual provider Active NPI Pharmacist · Winona, MN
NPI 1851787972 · NPPES record last updated Sep 18, 2020
Key facts
- NPI
- 1851787972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 124390 (MN)
- Practice address
- 1122 W Highway 61 Ste a
Winona, MN 55987-1957 - Phone
- (507) 615-0636
- Fax
- (507) 615-0616
- NPI assigned
- Apr 15, 2015
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124390 | MN | MD | Pharmacist |
| 17967-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17967-40 | WI | |
| Pharmacist | 183500000X | 124390 | MN | Yes |
Addresses
Primary practice location
1122 W Highway 61 Ste a
Winona, MN 55987-1957
Mailing address
1122 W Highway 61 Ste a
Winona, MN 55987-1957
Phone (507) 615-0636
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2020. 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.