Individual provider Active NPI

Matt Wendel Rowles, PHARMD

  • Pharmacist
  • North St Paul, MN
National Provider Identifier
1871888776
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119741 Issued in MN
Practice address
2199 Highway 36 E
T1185
North St Paul, MN 55109-2215
Phone
(651) 779-6341
Fax
(651) 779-6341
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119741 MN Primary

Addresses

Primary practice location

2199 Highway 36 E
T1185
North St Paul, MN 55109-2215

Mailing address

2199 Highway 36 E
T1185
North St Paul, MN 55109-2215
Phone (651) 779-6341

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
119741MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1871888776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 HIGHWAY 36 E",
            "address_2": "T1185",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092215",
            "telephone_number": "651-779-6341",
            "fax_number": "651-779-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 HIGHWAY 36 E",
            "address_2": "T1185",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092215",
            "telephone_number": "651-779-6341",
            "fax_number": "651-779-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLES",
        "first_name": "MATT",
        "middle_name": "WENDEL",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.