Active NPI
Jane Malmskog, PHARMD
- Pharmacist
- Madelia, MN
National Provider Identifier
1942586540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117471
- Practice address
- 121 Drew Ave SE
Madelia, MN 56062-1841 - Phone
- (507) 642-3255
- Fax
- (507) 642-5256
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 117471 | MN | Primary |
Addresses
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117471 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.