Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Donald Ackerman, PHARMACIST

Individual provider Pharmacist · NPI 1740699891

Timothy Donald Ackerman, PHARMACIST is a Pharmacist in Madison Lake, Minnesota. Practices as a sole proprietor. Licensed in Arizona, Iowa, Minnesota and Nevada.

Licensed in
AZ, IA, MN, NV
In the registry since
2014
Specialties on file
4

Practice location Address checks out

128 E Bay Dr
Madison Lake, MN 56063-1009
Phone: (507) 391-0134
Fax: (507) 243-3094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 113000 (MN)
Pharmacist Taxonomy 183500000X · Licence S014530 (AZ)
Pharmacist Taxonomy 183500000X · Licence 15882 (IA)
Pharmacist Taxonomy 183500000X · Licence 16602 (NV)

Record details

NPI number1740699891
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedAugust 2, 2014
Last updated in NPPESNovember 13, 2014
Mailing address128 E Bay Dr, Madison Lake, MN 56063-1009