PAMIDA STORES OPERATING CO LLC (NPI# 1164476396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164476396 |
| Entity Type | Organization |
| Organization Name | PAMIDA STORES OPERATING CO LLC |
| Other Organization Name | PAMIDA PHARMACY 13 |
| Practice Address |
801 Jefferson St N Wadena MN 56482-2334 |
| Mailing Address |
801 Jefferson St N. Wadena MN 56482-2334 |
| Practice Telephone | 2186311546 |
| Practice Fax Number | 2186311548 |
| Mailing Telephone | 2186311546 |
| Mailing Fax Number | 2186311548 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | MR. JOHN HARLOW (CEO/PRESIDENT) |
| Authorized Official Telephone | 4025967206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
262786-3 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 769418100 | 05 | |
| MN | 005450100 | 05 | |
| NCPDP | 2425040 | 01 |
| Other Name | Type Code |
|---|---|
| Pamida Pharmacy 13 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932353158 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 998 Us Hwy 93 North, Eureka, MT 59917-9550 | 2008-11-14 |
| 1750562195 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 113 West 3rd St, Beardstown, IL 62618 | 2007-11-14 |
| 1821033663 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1012 Jeffreys Dr, Osceola, IA 50213-9500 | 2006-06-17 |
| 1407800634 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1011 E Spruce St, Abbotsford, WI 54405-9647 | 2006-05-20 |
| 1588618706 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 340 Highway 65 S, Mora, MN 55051-1619 | 2006-05-20 |
| 1487608600 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 520 E Highway 12 Ste 110, Litchfield, MN 55355-2449 | 2006-05-20 |
| 1497709281 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 900 1st Ave W, Columbia Falls, MT 59912-4025 | 2006-05-19 |
| 1992758858 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 200 Paul Bunyan Dr S, Bemidji, MN 56601-3241 | 2006-05-19 |
| 1003869272 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 705 Northland Dr, Princeton, MN 55371-2168 | 2006-05-18 |
| 1699728253 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 5350 Station Dr, Calumet, MI 49913-1853 | 2006-05-17 |
| Street Address |
801 JEFFERSON ST N |
| City | WADENA |
| State | MN |
| Zip Code | 56482-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1255312013 | Alfredmy G Chessor | General Practice | 4 Deerwood Ave Nw, Wadena, MN 56482 | 2005-11-09 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| Find all providers in zip 56482 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770594558 | Schwartzwald Drug Inc. | Pharmacy | 321 Jefferson St N, Wadena, MN 56482-1372 | 2006-08-10 |
| 1558403469 | Tri County Hospital | Pharmacy | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-02-14 |
| 1922146836 | Mertens Drug Inc | Pharmacy | 204 Jefferson St N, Wadena, MN 56482-1371 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAMIDA STORES OPERATING CO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.