Individual provider Active NPI

Connor Lansing Birkel, PHARMD

  • Pharmacist
  • Winona, MN
National Provider Identifier
1851787972
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
124390 Issued in 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
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17967-40 WI
Pharmacist 183500000X 124390 MN Primary

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

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

LicenseStateTypeSpecialty
124390MNMDPharmacist
17967-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1851787972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 W HIGHWAY 61 STE A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559871957",
            "telephone_number": "507-615-0636",
            "fax_number": "507-615-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 W HIGHWAY 61 STE A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559871957",
            "telephone_number": "507-615-0636",
            "fax_number": "507-615-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKEL",
        "first_name": "CONNOR",
        "middle_name": "LANSING",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17967-40",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.