Individual provider Active NPI

Molly Slaby

  • Pharmacist
  • Wadena, MN
National Provider Identifier
1992189096
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
122358 Issued in MN
Practice address
321 Jefferson St N
C/O Thrifty White Pharmacy
Wadena, MN 56482-1372
Phone
(218) 631-4050
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 122358 MN Primary
Pharmacist 183500000X RPH5805 ND

Addresses

Primary practice location

321 Jefferson St N
C/O Thrifty White Pharmacy
Wadena, MN 56482-1372

Mailing address

321 Jefferson St N
C/O Thrifty White Pharmacy
Wadena, MN 56482-1372
Phone (218) 631-4050

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

State licenses

LicenseStateTypeSpecialty
122358MNMDPharmacist
RPH5805NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1992189096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 JEFFERSON ST N",
            "address_2": "C/O THRIFTY WHITE PHARMACY",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821372",
            "telephone_number": "218-631-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 JEFFERSON ST N",
            "address_2": "C/O THRIFTY WHITE PHARMACY",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821372",
            "telephone_number": "218-631-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABY",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122358",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadena, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.