Active NPI
Andrew Phillip Traynor, PHARM.D.
- Pharmacist
- Duluth, MN
National Provider Identifier
1962409441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118007-1
- Practice address
- 1110 Kirby Dr
215 Life Science
Duluth, MN 55812-3003 - Phone
- (218) 726-6027
- NPI assigned
- Jun 30, 2005
- 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 | 118007-1 | MN | Primary |
Addresses
Primary practice location
1110 Kirby Dr
215 Life Science
Duluth, MN 55812-3003
Mailing address
1207 Jean Marie St
Cloquet, MN 55720-3004
Phone (218) 879-6309
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 |
|---|---|---|---|
| 118007-1 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1962409441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 JEAN MARIE ST",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203004",
"telephone_number": "218-879-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 KIRBY DR",
"address_2": "215 LIFE SCIENCE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558123003",
"telephone_number": "218-726-6027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAYNOR",
"first_name": "ANDREW",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118007-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.