ESSENTIA HEALTH HERMANTOWN PHARMACY – NPI #1336255744
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.

ESSENTIA HEALTH HERMANTOWN PHARMACY is a pharmacy located in HERMANTOWN, MN. NPPES has assigned the NPI number 1336255744 to ESSENTIA HEALTH HERMANTOWN PHARMACY on August 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ESSENTIA HEALTH HERMANTOWN PHARMACY” is a dba name, the actual legal business name for this organization is THE DULUTH CLINIC, LTD. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 2 years ago on Feb 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ESSENTIA HEALTH HERMANTOWN PHARMACY below.

NPI Profile for
THE DULUTH CLINIC, LTD

NPI Number
1336255744
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE DULUTH CLINIC, LTD
Doing Business As (dba): ESSENTIA HEALTH HERMANTOWN PHARMACY
Primary location
4855 W ARROWHEAD RD
SUITE A
HERMANTOWN, MN 55811-3936
Phone: (218) 786-3549 Fax: (218) 786-3691
Mailing address
Same as primary location
Organization Subpart
Yes - ESSENTIA HEALTH HERMANTOWN PHARMACY is subpart of another organization.
Authorized Official
KEVIN BOREN
VP OF FINANCE
Phone: (218) 786-1009
Updated
Certification Date
Feb 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ESSENTIA HEALTH HERMANTOWN PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNCPDPMN24-21701
otherTHE DULUTH CLINIC, LTD CHAIN CODEMN573
medicaidMN359723700
medicaidWI33207700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
MN 2612755

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.