WYATT BADER
NPI 1043948607
Pharmacist in Blaine, MN

Active since August 11, 2022
4202 PHEASANT RIDGE DR NE, BLAINE, MN 55449(651) 255-1498 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wyatt Bader NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYATT BADER (NPI 1043948607) is an individual pharmacist in Blaine, Minnesota, licensed in Minnesota (125679) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1043948607
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameWYATT BADER
Location Address4202 PHEASANT RIDGE DR NEBlaine, MN 55449-4529
Mailing Address4202 Pheasant Ridge Dr NeBlaine, MN 55449-4529 · (651) 255-1498
Sole ProprietorNo
Enumeration DateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
NPI 1043948607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 125679
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.
4202 PHEASANT RIDGE DR NE, Blaine, MN 55449

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
4202 PHEASANT RIDGE DR NE
BLAINE, MN 55449
Pharmacist
4202 PHEASANT RIDGE DR NE
MINNEAPOLIS, MN 55449
Pharmacist
4202 PHEASANT RIDGE DR NE
BLAINE, MN 55449
Pharmacist
4202 PHEASANT RIDGE DR NE
BLAINE, MN 55449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyatt Bader's NPI number?

The NPI number for Wyatt Bader is 1043948607. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Wyatt Bader located?

Wyatt Bader practices at 4202 Pheasant Ridge Dr NE, Blaine, MN 55449. The listed phone number is (651) 255-1498.

What is Wyatt Bader's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Wyatt Bader was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.