Timothy Ray Boonstra, RPH - Pharmacist in Minneapolis, MN

Timothy Ray Boonstra, RPH is a Pharmacist based in Minneapolis, Minnesota. Timothy Ray Boonstra is licensed to practice in Minnesota (license number 113637-1) and his current practice location is 516 Delaware St Se, Suite 2-350, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 626-2828.

NPI number for Timothy Ray Boonstra is 1124393293 and his current mailing address is 516 Delaware St Se, Suite 2-350, Minneapolis, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124393293.

Contact Information

Timothy Ray Boonstra, RPH
516 Delaware St Se, Suite 2-350,
Minneapolis, MN 55455-0356
(612) 626-2828
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTimothy Ray Boonstra
GenderMale
SpecialityPharmacist
Location516 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124393293
  • Provider Enumeration Date: 03/21/2012
  • Last Update Date: 03/21/2012

Medical Identifiers

Medical identifiers for Timothy Ray Boonstra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124393293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 113637-1 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Ray Boonstra is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy Ray Boonstra, RPH
516 Delaware St Se, Suite 2-350,
Minneapolis, MN 55455-0356

Ph: (612) 626-2828
Timothy Ray Boonstra, RPH
516 Delaware St Se, Suite 2-350,
Minneapolis, MN 55455-0356

Ph: (612) 626-2828

Reviews and Comments


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