Active NPI
Einar Borge Tjolsen, PHARM.D.
- Pharmacist
- Adrian, MI
National Provider Identifier
1962492884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302025181
- Practice address
- 905 N Main St
Adrian, MI 49221-2168 - Phone
- (517) 263-7300
- Fax
- (517) 263-7370
- NPI assigned
- Oct 22, 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 | 5302025181 | MI | Primary |
Addresses
Primary practice location
905 N Main St
Adrian, MI 49221-2168
Mailing address
3016 Windmill CT
Adrian, MI 49221-8201
Phone (517) 266-6114
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 |
|---|---|---|---|
| 5302025181 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962492884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 WINDMILL CT",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492218201",
"telephone_number": "517-266-6114",
"fax_number": "517-263-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N MAIN ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212168",
"telephone_number": "517-263-7300",
"fax_number": "517-263-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TJOLSEN",
"first_name": "EINAR",
"middle_name": "BORGE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302025181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.