DR. JAN E. PEDERSON PHARM.D.
NPI 1295851228
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Thief River Falls, MN

Active since March 21, 2007
215 PENNINGTON AVE, PHARMACY, THIEF RIVER FALLS, MN 56701(218) 681-1515 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jan E. Pederson Pharm.d. NPPES

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

DR. JAN E. PEDERSON PHARM.D. (NPI 1295851228) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Thief River Falls, Minnesota, licensed in Minnesota (116988) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1295851228
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. JAN E. PEDERSONCredential: PHARM.D.
Location Address215 PENNINGTON AVE, PHARMACYThief River Falls, MN 56701-2900
Mailing Address21096 Gold Coast Rd NwBemidji, MN 56601-9180 · (218) 686-5562 · Fax (218) 681-2330
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateMay 8, 2020
NPPES CertifiedMay 8, 2020
NPI 1295851228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in MN · 116988
Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

215 PENNINGTON AVE, Thief River Falls, MN 56701

Other Identifiers 1

Medicaid743688200MN

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.

Pharmacist
215 PENNINGTON AVE
THIEF RIVER FALLS, MN 56701
Pharmacy (Community/Retail Pharmacy)
215 PENNINGTON AVE
THIEF RIVER FALLS, MN 56701
Pharmacist
215 PENNINGTON AVE
THIEF RIVER FALLS, MN 56701
Pharmacist
215 PENNINGTON AVE
THIEF RIVER FALLS, MN 56701

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 Jan Pederson's NPI number?

The NPI number for Jan Pederson is 1295851228. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Jan Pederson located?

Jan Pederson practices at 215 Pennington Ave Pharmacy, Thief River Falls, MN 56701. The listed phone number is (218) 681-1515.

What is Jan Pederson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jan Pederson was last updated on May 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.