Active NPI
Daniel Ben Molstad, RPH
- Pharmacist
- Blair, WI
National Provider Identifier
1902940141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9148040
- Practice address
- 125 W Broadway St
Blair, WI 54616-9367 - Phone
- (608) 989-2919
- Fax
- (608) 989-2837
- NPI assigned
- Feb 19, 2007
- Last updated
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9148040 | WI | Primary |
Addresses
Primary practice location
125 W Broadway St
Blair, WI 54616-9367
Mailing address
15520 Golf Rd
Ettrick, WI 54627-7839
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9148040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hogden Enterprises Inc | Current | Accepting new patients | |
| Hogden Enterprises Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1902940141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15520 GOLF RD",
"city": "ETTRICK",
"state": "WI",
"postal_code": "546277839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W BROADWAY ST",
"city": "BLAIR",
"state": "WI",
"postal_code": "546169367",
"telephone_number": "608-989-2919",
"fax_number": "608-989-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLSTAD",
"first_name": "DANIEL",
"middle_name": "BEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "9148040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blair, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.