MR. JAMES MICHAEL MANDT


Address: 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371
Phone: 7633896396

MR. JAMES MICHAEL MANDT (NPI# 1497940928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497940928
Entity Type Individual
Full Name MR. JAMES MICHAEL MANDT
Credential RPH
Practice Address 911 Northland Drive
Fairview Northland Medical Center
Princeton
MN 55371
Practice Telephone 7633896396
Practice Fax Number 7633896395
Mailing Telephone 7633896396
Mailing Fax Number 7633896395
Enumeration Date 2007-09-07
Last Update Date 2007-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 1122411 MN Pharmacy Service Providers

Office Location

Street Address 911 NORTHLAND DRIVE
FAIRVIEW NORTHLAND MEDICAL CENTER
City PRINCETON
State MN
Zip Code 55371

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053962530 Monica Gail Broten Technician 30840 Tiger Street Nw, Princeton, MN 55371 2019-09-25
1215349584 Stephen Destefano Pharmacist 31419 131st Street, Princeton, MN 55371 2014-05-21
1164798948 Andrew Sudbeck Counselor 101 18th Avenue North, Princeton, MN 55371 2012-03-27
1073804803 Sterling Pointe Senior Living LLC Assisted Living Facility 1250 Northland Drive, Princeton, MN 55371 2011-04-27
1568752533 Rum River Health Services, Inc. Substance Abuse Rehabilitation Facility 3079 90th Avenue, Princeton, MN 55371 2011-04-12
1780989038 Dr. Kynan Westermeyer, Dds, Pllc Clinic/Center 404 1st St. N, Princeton, MN 55371 2011-01-18
1275788085 Cody James Leff Pharmacist 1100 11th Avenue South, Princeton, MN 55371 2008-11-20
1164679213 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1101 N 5th St, Princeton, MN 55371 2008-08-20
1801059639 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1506 1st Street, Princeton, MN 55371 2008-07-02
1225194475 Thomas L Nunnelee Inc Eyewear Supplier (Equipment, not the service) 900 Rum River Dr South, Suite 103, Princeton, MN 55371 2006-12-29
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104426568 John Louis Putorek Pharmacist 176 Blueridge Ave, Princeton, WV 24740-4226 2020-10-27
1003420613 Samantha Beatriz Manzano Pharmacist 301 N Harrison Street, Princeton, NJ 08540 2020-09-01
1871102384 Chad Holzmeyer Pharmacist 101 W Brumfield Ave., Princeton, IN 47670 2020-07-30
1265082374 Hyunjee Song Pharmacist 10 Scarlet Oak Dr, Princeton, NJ 08540-4610 2019-09-19
1255817565 Asit Patel Pharmacist 18 Renfield Dr, Princeton, NJ 08540-6260 2018-07-19
1518456987 Adel G. Said Pharmacist 16 Red Oak Row, Princeton, NJ 08540-2840 2018-05-01
1013449172 Karin Cappa Pharmacist 669 Cornfield Rd, Princeton, WV 24740 2017-03-29
1861889990 Melodie Grady Pharmacist 1143 Bear Creek Rd, Princeton, ID 83857-9753 2015-04-15
1184028268 Stephen Gray Crowe Pharmacist 1229 Stafford Dr, Princeton, WV 24740-2465 2014-10-17
1174951784 Venugopal Ghanta Venkata Pharmacist 261 Mather Ave, Princeton, NJ 08540-6440 2013-10-16
Find all providers in PRINCETON

Competitor

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City PRINCETON
Zip Code 55371

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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