Hayden Butzlaff

Primary specialty

PharmacistTaxonomy code 183500000X

License

127552 Issued in MN

Practice address

356 12TH St SW
Forest Lake, MN 55025-1749

Phone

(651) 464-1994

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1861304065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PARK ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107702",
            "telephone_number": "651-583-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 12TH ST SW",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251749",
            "telephone_number": "651-464-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZLAFF",
        "first_name": "HAYDEN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.