Active NPI
Jon Engelhardt
- Pharmacist
- Austin, MN
National Provider Identifier
1922815620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113835
- Practice address
- 1109 W Oakland Ave
Austin, MN 55912-2245 - Phone
- (507) 433-7423
- NPI assigned
- Dec 16, 2024
- 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 | 113835 | MN | Primary |
Addresses
Primary practice location
1109 W Oakland Ave
Austin, MN 55912-2245
Mailing address
905 N Main St
Austin, MN 55912-3357
Phone (507) 434-7425
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113835 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1922815620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 N MAIN ST",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559123357",
"telephone_number": "507-434-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 W OAKLAND AVE",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559122245",
"telephone_number": "507-433-7423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHARDT",
"first_name": "JON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.