Michael Terrence Battag;Oa, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

113010 Issued in MN

Practice address

615 W Central Entrance
Duluth, MN 55811-5448

Phone

(218) 727-3010

Fax

(218) 727-7586

NPI assigned

Dec 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1861089526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CENTRAL ENTRANCE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115448",
            "telephone_number": "218-727-3010",
            "fax_number": "218-727-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W CENTRAL ENTRANCE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115448",
            "telephone_number": "218-727-3010",
            "fax_number": "218-727-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAG;OA",
        "first_name": "MICHAEL",
        "middle_name": "TERRENCE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "113010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s01603.rx@cub.com",
            "affiliation": "Y",
            "endpointDescription": "corporage emial",
            "affiliationName": "SUPERVALU PHARMACIES INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "615 W Central Entrance",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558115448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cubpharmacies.com",
            "affiliation": "Y",
            "endpointDescription": "url",
            "affiliationName": "SUPERVALU PHARMACIES INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "615 W Central Entrance",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558115448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Misty June Bastian, OTR/L
• Karen Ms Bastianelli, PHARMD
• Christina H. Bastin Dejong, MD
• Kaitlyn Oline Batchelder, PT
• Kris Duane Bates, C.P.T., L.P.T.A.
• Steven J Bauer, MD
• Dana M Baumeister, MSW, LICSW
• Amanda Beth Baumgartner, LICSW
• Claire Elizabeth Baumgartner, MD
• Dennis Alvin Baxley, P.A.

• Pharmacist in Duluth, MN
• Providers in Duluth, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.