LYLE PRUSSMAN JR. PHARMD
NPI 1629472618
Pharmacist in Austin, MN

Active since October 20, 2014
905 N MAIN ST, AUSTIN, MN 55912(507) 433-7447 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lyle Prussman Jr. Pharmd NPPES

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

LYLE PRUSSMAN JR. PHARMD (NPI 1629472618) is an individual pharmacist in Austin, Minnesota, licensed in Minnesota (121233) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1629472618
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameLYLE PRUSSMAN JR.Credential: PHARMD
Location Address905 N MAIN STAustin, MN 55912-3357
Mailing Address905 N Main StAustin, MN 55912-3357 · (507) 433-7447
Sole ProprietorNo
Enumeration DateOctober 20, 2014
NPI 1629472618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 121233
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.
905 N MAIN ST, Austin, MN 55912

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
905 N MAIN ST
AUSTIN, MN 55912
Pharmacy (Long Term Care Pharmacy)
905 N MAIN ST
AUSTIN, MN 55912
Pharmacist
905 N MAIN ST
AUSTIN, MN 55912
Pharmacist
905 N MAIN ST
AUSTIN, MN 55912

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 Lyle Prussman's NPI number?

The NPI number for Lyle Prussman is 1629472618. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Lyle Prussman located?

Lyle Prussman practices at 905 N Main St, Austin, MN 55912. The listed phone number is (507) 433-7447.

What is Lyle Prussman'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 Lyle Prussman was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.