MEDICARE: DR. MICHAEL J FRAKES PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	111951-6	MN
2	1835N1003X	Nutrition Support Pharmacist	111951-6	MN
3	1835P1200X	Pharmacotherapy Pharmacist	111951-6	MN
4	1835P1300X	Psychiatric Pharmacist	111951-6	MN

General Provider Information

NPI Number	:	1033117148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J FRAKES PHARM.D.

Provider Business Mailing Address
First Line	:	3712 CHATHAM CIR
Second Line	:
City	:	ARDEN HILLS
State	:	MN
Zip	:	55112-3227
Country	:	US
Telephone Number	:	651-492-3341
Fax Number	:	651-636-1955

Provider Business Practice Location Address
First Line	:	3712 CHATHAM CIR
Second Line	:
City	:	ARDEN HILLS
State	:	MN
Zip	:	55112-3227
Country	:	US
Telephone Number	:	651-492-3341
Fax Number	:	651-636-1955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/11/2025

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