Michael Perell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

116669 Issued in MN

Practice address

4743 Maple Grove Rd
Hermantown, MN 55811-3920

Phone

(218) 279-2858

Fax

(218) 279-2860

NPI assigned

Aug 14, 2018

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1952881542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 MAPLE GROVE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113920",
            "telephone_number": "218-279-2858",
            "fax_number": "218-279-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 MAPLE GROVE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113920",
            "telephone_number": "218-279-2858",
            "fax_number": "218-279-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELL",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "116669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Miranda Lea Peaney
• Rachael Perkins
• Joslyn P Peterson
• Tommi Marie Peterson
• Jennifer Piasecki
• Pillars of Hermantown LLC (The Pillars of Hermantown)

• Pharmacist in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.