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Dr. Amy Dittmer , PharmD

Pharmacist β€’ Glencoe, MN

Active NPI 1265765614 Individual Practitioner Female Practitioner
Practice location in NPPES

1805 Hennepin Ave N
Glencoe, MN 553361416

Call 3208647825 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1805 Hennepin Ave N

Glencoe, MN 553361416

Telephone 3208647825
Organization at the Same NPPES Address or Phone
Advanced Orthopaedic Surgery, P.a. Facility NPI 1285671263

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Glencoe and Minnesota

4 active clinicians are listed under Pharmacist with a practice address in Glencoe, MN (4,917 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MN 119702

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Dr. Nina Appleby , DO

Family Medicine

NPI 1538548003

Doctor of Osteopathic Medicine (D.O.)

NPI 1205824752

Doctor of Osteopathic Medicine (D.O.)

NPI 1831533512

Doctor of Medicine (M.D.)

NPI 1487802021

Doctor of Medicine (M.D.)

Patricia De Loyal , PA-C

Physician Assistant

NPI 1083081582

Physician Assistant (Certified)

NPI 1376573014

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 10, 2026

Registered at 1805 HENNEPIN AVE N, GLENCOE, MN 553361416 (Tel: 3208647825)

πŸ“
Updated Business Mailing Address July 10, 2026

Registered at 1805 HENNEPIN AVE N, GLENCOE, MN 553361416 (Tel: 3208647825)

πŸ‘€
Provider Name / Credentials Updated July 10, 2026

Recorded as AMY DITTMER, PHARM.D.

βœ…
NPI Profile Active September 16, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 16, 2009

Registered at 1200 GRANT BLVD W, WABASHA, MN 559811042 (Tel: 6515655527)

πŸ“
Business Mailing Address (Initial Record) September 16, 2009

Registered at 1200 GRANT BLVD W, WABASHA, MN 559811042

πŸ‘€
Provider Name / Credentials (Initial Record) September 16, 2009

Recorded as AMY EDGE, PHARM.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2009

Pharmacist (license number reported to NPPES: MN 119702)

🟒
Initial NPI Registration & Enumeration September 16, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265765614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2009
Last Update: July 10, 2026
Sole Proprietor: No

Mailing Address

1805 Hennepin Ave N

Glencoe, MN 553361416

Phone: 3208647825

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.