Individual provider Active NPI

Jane Malmskog, PHARMD

  • Pharmacist
  • Madelia, MN
National Provider Identifier
1942586540
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
117471 Issued in MN
Practice address
121 Drew Ave SE
Madelia, MN 56062-1841
Phone
(507) 642-3255
Fax
(507) 642-5256
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
Yes

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
117471MNMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 117471 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

121 Drew Ave SE
Madelia, MN 56062-1841

Mailing address

121 Drew Ave SE
Madelia, MN 56062-1841
Phone (507) 642-3255

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2011.

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1942586540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255",
            "fax_number": "507-642-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255",
            "fax_number": "507-642-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMSKOG",
        "first_name": "JANE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madelia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.