Active NPI
James Ryan Novak, PHARM.D.
- Pharmacist
- Duluth, MN
National Provider Identifier
1962612135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117771
- Practice address
- 4501 Grand Ave
Duluth, MN 55807-2754 - Phone
- (218) 628-2897
- Fax
- (218) 624-5853
- NPI assigned
- May 23, 2007
- Last updated
- Oct 24, 2011
- 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 | 117771 | MN | Primary |
Addresses
Primary practice location
4501 Grand Ave
Duluth, MN 55807-2754
Mailing address
4501 Grand Ave
Duluth, MN 55807-2754
Phone (218) 628-2897
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 |
|---|---|---|---|
| 117771 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1962612135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072754",
"telephone_number": "218-628-2897",
"fax_number": "218-624-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072754",
"telephone_number": "218-628-2897",
"fax_number": "218-624-5853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "JAMES",
"middle_name": "RYAN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
- Phyllis Noss, M.D.
- Deanna Lyn Notaro, APRN, CNP
- Taylor Nouis
- Novacare Outpatient Rehabilitation East Inc (NovaCare Rehabilitation)
- Novacare Outpatient Rehabilitation East Inc (NovaCare Rehabilitation)
- Breanna Mae Nowak, MD
- Nurses That Care Inc
- Jacob Eric Nustad-Peluso
- Neelima Nyayapati, M.D.
- Faith Marie Nyberg, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.