MR. GARY DEAN DOMIER (NPI# 1124330899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124330899 |
| Entity Type | Individual |
| Full Name | MR. GARY DEAN DOMIER |
| Credential | RPH |
| Practice Address |
1305 Highway 10 W Detroit Lakes MN 56501-2214 |
| Practice Telephone | 2188479755 |
| Practice Fax Number | 2188479456 |
| Mailing Telephone | 2188479755 |
| Mailing Fax Number | 2188479456 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 115516 | MN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 4071 | ND | Pharmacy Service Providers |
| Street Address |
1305 HIGHWAY 10 W |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205073822 | Julie A Kauffman | Pharmacist | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2009-01-20 |
| 1609239326 | Douglas Kaasa | Pharmacist | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2016-03-31 |
| 1730598723 | Derek Gaffney | Pharmacist | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2014-08-05 |
| 1316204365 | Daniel W Fougner | Pharmacist | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2012-04-16 |
| 1912938911 | Kmart Operations LLC | Pharmacy | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1225477193 | Hal Joseph Teiken | Pharmacist | 808 Washington Ave, Suite 29, Detroit Lakes, MN 56501-3033 | 2013-06-24 |
| 1528344835 | Alyson Rose Larson | Pharmacist | 211 Frazee St E, Detroit Lakes, MN 56501-3503 | 2011-10-31 |
| 1205073822 | Julie A Kauffman | Pharmacist | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2009-01-20 |
| 1265030894 | Christine Osterman | Pharmacist | 1583 Highway 10 W, Detroit Lakes, MN 56501-2232 | 2020-10-15 |
| 1356949028 | Darren Garold Mack | Pharmacist | 1583 Highway 10 W, Detroit Lakes, MN 56501-2232 | 2020-10-14 |
| 1427656412 | Anna Kinneberg | Pharmacist | 1583 Highway 10 W, Detroit Lakes, MN 56501-2232 | 2020-10-13 |
| 1811517923 | Joann K Dobis | Pharmacist | 329 Frazee St E, Detroit Lakes, MN 56501-3603 | 2020-04-17 |
| 1659900314 | Jennifer Workman | Pharmacist | 329 Frazee St E, Detroit Lakes, MN 56501-3603 | 2020-04-05 |
| 1609239326 | Douglas Kaasa | Pharmacist | 1305 Highway 10 W, Detroit Lakes, MN 56501-2214 | 2016-03-31 |
| Find all providers in DETROIT LAKES | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on MR. GARY DEAN DOMIER.
| 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.