Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962233635 Individual Practitioner Male Practitioner

Dr. Daniel Allen Tellock , PharmD

Pharmacist • Red Lake, MN

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Tellock, PharmD is a registered healthcare professional specializing in Pharmacist in Red Lake, MN. Practice services are available at 24760 HOSPITAL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24760 Hospital Rd

Red Lake, MN 56671

Telephone 2186793912
Associated Practice Facility / Clinic
🏢 Phs Indian Hospital Facility NPI 1508809765

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Red Lake, MN

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

Practicing in Red Lake, 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

CMS Verified: 2024-08-06
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 126507

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

40 Associated Practitioners
Dr. Hannah Moses , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013589571

Doctor of Pharmacy (Pharm.D.)

NPI 1033140561

Doctor of Osteopathic Medicine (D.O.)

NPI 1063447605

Doctor of Medicine (M.D.)

NPI 1063727402

Doctor of Dental Surgery

Tracy Brower , CNP

Nurse Practitioner

NPI 1073543484

Certified Nurse Practitioner

John Dick , MSW

Counselor - Mental Health

NPI 1073716023

Master of Social Work

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2024

Registered at 24760 HOSPITAL RD, RED LAKE, MN 56671 (Tel: 2186793912)

📍
Updated Business Mailing Address August 13, 2024

Registered at 24760 HOSPITAL RD, RED, MN 56671 (Tel: 2186793912)

👤
Provider Name / Credentials Updated August 13, 2024

Recorded as DANIEL TELLOCK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2024

Pharmacist (License #126507 in MN)

🟢
Initial NPI Registration & Enumeration August 13, 2024

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: 1962233635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2024
Last Update: August 13, 2024
Sole Proprietor: No

Mailing Address

24760 Hospital Rd

Red, MN 56671

Phone: 2186793912

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.