Timothy Ray Boonstra, RPH
NPI 1124393293ActiveIndividual· Pharmacist· Minneapolis, MN
Pharmacist (RPH) in Minneapolis, Minnesota, licensed in MN, with an NPI issued in March 2012.
Overview
| NPI | 1124393293 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH |
| Sole proprietor | Yes |
| NPI issued | Mar 21, 2012 |
| Last updated in NPPES | Mar 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 113637-1 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Minneapolis
- 1982089926
- 1568804367
- 1932939725
- 1043632953
- 1316878036
- 1083063952
- 1316893688
- 1851689780
- 1386427441
- 1184421521
- 1548873532
- 1942595483