COUNTY OF KANABEC (NPI# 1407276264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407276264 |
| Entity Type | Organization |
| Organization Name | COUNTY OF KANABEC |
| Other Organization Name | WELIA HEALTH COMMUNITY PHARMACY |
| Practice Address |
1425 Main St N Pine City MN 55063-6026 |
| Practice Telephone | 3203225141 |
| Practice Fax Number | 3203225132 |
| Mailing Telephone | 3203225141 |
| Mailing Fax Number | 3203225132 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | RANDY ULSETH (CEO) |
| Authorized Official Telephone | 3202253315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
264387 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 356680100 | 05 | |
| PK | 2144876 | 01 |
| Other Name | Type Code |
|---|---|
| FirstLight Health System Pharmacy | Doing Business As Name - Organization |
| Welia Health Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1841761871 | County of Kanabec | Pharmacy | 301 Highway 65 S, Mora, MN 55051-1899 | 2018-12-17 |
| 1578014486 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2016-10-17 |
| 1073821468 | County of Kanabec | Clinic/Center | 620 Sandy Ln, Hinckley, MN 55037-8381 | 2010-09-20 |
| 1336457720 | County of Kanabec | Clinic/Center | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-09-20 |
| 1972811362 | County of Kanabec | Clinic/Center | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-09-20 |
| 1669424198 | County of Kanabec | Public Health or Welfare | 905 Forest Ave E, Ste. 127, Mora, MN 55051-1624 | 2006-05-16 |
| 1760432595 | County of Kanabec | Hospice Care, Community Based | 905 Forest Ave E, Suite 127, Mora, MN 55051-1624 | 2006-05-11 |
| 1578537023 | County of Kanabec | Medicare Defined Swing Bed Unit | 301 Highway 65 S, Mora, MN 55051-1899 | 2006-02-13 |
| 1528031390 | County of Kanabec | General Acute Care Hospital | 301 Highway 65 S, Mora, MN 55051-1899 | 2006-02-10 |
| Street Address |
1425 MAIN ST N |
| City | PINE CITY |
| State | MN |
| Zip Code | 55063-6026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649365628 | Aileen M Roberts | Occupational Therapist | 1425 Main St N, Pine City, MN 55063-6026 | 2006-10-04 |
| 1255945903 | Melinda Margaret Mckay | Nurse Practitioner | 1425 Main St N, Pine City, MN 55063-6026 | 2020-09-01 |
| 1871031856 | Kalli Gilbertson | Physical Therapist | 1425 Main St N, Pine City, MN 55063-6026 | 2017-02-09 |
| 1295108421 | Sheryl Elaine Anderson | Physician Assistant | 1425 Main St N, Pine City, MN 55063-6026 | 2015-11-10 |
| 1588031090 | Sarah Marie Carpenter | Occupational Therapist | 1425 Main St N, Pine City, MN 55063-6026 | 2015-09-01 |
| 1144615204 | Rebecca Catherine Zelenko | Specialist/Technologist | 1425 Main St N, Pine City, MN 55063-6026 | 2015-04-05 |
| 1154769339 | Kristen Christopherson | Specialist/Technologist | 1425 Main St N, Pine City, MN 55063-6026 | 2013-06-10 |
| 1992956999 | Joseph Dvorak | Pharmacist | 1425 Main St N, Pine City, MN 55063-6026 | 2008-10-08 |
| 1851510366 | Sandra J. Moore | Nurse Practitioner | 1425 Main St N, Pine City, MN 55063-6026 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025595 | B&b Guardian Angels Home Care Services, Inc | Home Health | 27680 Beroun Crossing Road, Pine City, MN 55063 | 2020-02-21 |
| 1346684289 | Power Chairs and Scooter Store Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 540 Main St S, Pine City, MN 55063 | 2013-04-22 |
| 1225387327 | Avalon Meridian Behavioral Health | Health Maintenance Organization | 645 3rd Avenue Sw, Pine City, MN 55063 | 2012-09-05 |
| 1629226949 | Community Supports Programming Services LLC | Home Health | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2008-08-28 |
| 1033233788 | Meadow Creek LLC | Substance Abuse Rehabilitation Facility | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2007-03-19 |
| 1477647006 | Rachel E Waxberg | Chiropractor | 805 Main Street South, Pine City, MN 55063 | 2006-10-03 |
| 1306947494 | Joseph Norbert Nilsson | Chiropractor | 253 5th St Se, Pine City, MN 55063 | 2006-09-25 |
| 1851324313 | Pine Eye Associates, Pa | Optometrist | 110 Evergreen Square, Pine City, MN 55063 | 2006-07-08 |
| 1053372656 | Kristie Ann Roberts | Dentist | 1105 Hillside Ave Sw, Pine City, MN 55063 | 2006-03-31 |
| 1114495827 | Kelly Ann Buchta | Social Worker | 220 Railroad St Se, Pine City, MN 55063 | 2018-11-12 |
| Find all providers in zip 55063 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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| 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.