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Deactivated NPI 1972872687 Deactivated / Inactive NPI Male Practitioner

Paul Thomas Neitzke , RPH

Pharmacist • Brainerd, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul Neitzke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 26, 2011
NPI Deactivation Date August 27, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Paul Neitzke, RPH was a registered Pharmacist practicing in Brainerd, MN. Throughout an active medical career spanning 7 years, Paul Neitzke provided care at the practice location at 340 W WASHINGTON ST until profile deactivation on 2018-08-27.

Practice Location & Contact Primary Location

Practice Address

340 W Washington St

Brainerd, MN 564012924

Telephone 2188250027
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1841205069

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Brainerd, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Brainerd, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 112244

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1033495098

Registered Pharmacist

Cheryl Steffen

Pharmacist - Ambulatory Care

NPI 1114791613
NPI 1124427489

Doctor of Pharmacy (Pharm.D.)

NPI 1134404171

Registered Pharmacist

Julie Krall

Pharmacist

NPI 1265816425
NPI 1619252756

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 27, 2018

Record deactivated on August 27, 2018

NPI Profile Active December 26, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 26, 2011

Registered at 340 W WASHINGTON ST, BRAINERD, MN 564012924 (Tel: 2188250027)

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Updated Business Mailing Address December 26, 2011

Registered at 101 12TH AVE S, #301, SARTELL, MN 563774674 (Tel: 2183715698)

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Provider Name / Credentials Updated December 26, 2011

Recorded as PAUL NEITZKE, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2011

Pharmacist (License #112244 in MN)

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Initial NPI Registration & Enumeration December 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972872687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2011
Last Update: December 26, 2011
Deactivation Date: August 27, 2018

Mailing Address

101 12th Ave S, #301

Sartell, MN 563774674

Phone: 2183715698

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.