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

Timothy Ray Boonstra, RPH

Individual provider Pharmacist · NPI 1124393293

Timothy Ray Boonstra, RPH is a Pharmacist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

516 Delaware St SE Ste 2-350
Minneapolis, MN 55455-0356
Phone: (612) 626-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 113637-1 (MN)

Record details

NPI number1124393293
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedMarch 21, 2012
Last updated in NPPESMarch 21, 2012
Mailing address516 Delaware St Se, Suite 2-350, Minneapolis, MN 55455-0356

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