IndividualActive
Dane Mellgren, PHARMD
NPI 1043705965 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Minneapolis, MN
Provider details
- NPI number
- 1043705965
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 123330 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (612) 467-1003
Street-level locationGet directions
Mailing address
1 Veterans Dr
Minneapolis, MN 55417-2309
Registry dates
- Enumerated
- 2018-06-23
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.