NORTH SHORE PHARMACY LTD (NPI# 1528121308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528121308 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE PHARMACY LTD |
| Other Organization Name | ARROWHEAD VENTURES INC |
| Practice Address |
21 West Highway 61 Grand Marais MN 55604 |
| Mailing Address |
133 Summit St Ste 337 Duluth MN 55803 |
| Practice Telephone | 2183871133 |
| Practice Fax Number | 2183872169 |
| Mailing Telephone | 6122407571 |
| Mailing Fax Number | 8446746737 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | MR. COREY TODD MALSTROM (PRESIDENT) |
| Authorized Official Telephone | 6122407571 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 2602558 | MN | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
263022 | MN | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 460258700 | 05 | |
| MN | 002432000 | 05 |
| Other Name | Type Code |
|---|---|
| Arrowhead Ventures Inc | Former Legal Business Name - Organization |
| Street Address |
21 WEST HIGHWAY 61 |
| City | GRAND MARAIS |
| State | MN |
| Zip Code | 55604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697038 | Grace Sliwinska-floe | Technician | 403 W 2nd Ave, Grand Marais, MN 55604 | 2019-09-05 |
| 1992271779 | Kristie Batz | Behavior Technician | Accend Services, 101 W Hwy 61, Grand Marais, MN 55604 | 2018-10-18 |
| 1083987143 | Jessi Elizabeth Nicholson | Acupuncturist | 101 W Hwy 61, Suite 130, Grand Marais, MN 55604 | 2012-02-20 |
| 1033429873 | Grand Marais Investors, LLC | Pharmacy | 425 W Highway 61, Grand Marais, MN 55604 | 2010-10-14 |
| 1679710289 | Gwen Lawler | Social Worker | 1807 West Highway 61, Grand Marais, MN 55604 | 2009-01-20 |
| 1487879243 | Alyssa Anne Hedstrom | Dentist | 303 E 3rd Street, Grand Marais, MN 55604 | 2007-04-16 |
| 1497831705 | Gunflint Trail Volunteer Fire Department | Ambulance | 112 S Gunflint Lk Rd, Grand Marais, MN 55604 | 2006-10-29 |
| 1518391010 | Grand Marais Family Dentistry | Dentist | 303 E 3rd St, Grand Marais, MN 55604 | 2013-09-03 |
| 1700026762 | Sawtooth Chiropractic PC | Chiropractor | 501 W 5th St, Grand Marais, MN 55604 | 2009-03-03 |
| 1225469828 | Hillhaven LLC | Foster Care Agency | 1683 E. Hwy 61, Grand Marais, MN 55604-0179 | 2013-12-06 |
| Find all providers in zip 55604 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033276 | Nina Marie Kleinschmidt | Pharmacy | 1315 Minnesota Ave, Detroit Lakes, MN 56501-3913 | 2019-10-07 |
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1477042372 | Sanford Clinic North | Pharmacy | 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 | 2018-05-07 |
| 1295222909 | A & E Pharmacy LLC | Pharmacy | 1509 10th Ave S, Minneapolis, MN 55404-1754 | 2018-04-18 |
| 1215445085 | Genoa Healthcare LLC | Pharmacy | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1372 | 2018-01-16 |
| 1497279608 | Coborns Inc | Pharmacy | 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 | 2017-07-29 |
| 1740711753 | Hennepin Healthcare System Inc | Pharmacy | 800 Washington Ave N Ste 190, Minneapolis, MN 55401-1330 | 2017-03-22 |
| 1568903532 | First Choice Pharmacy of Jordan PC | Pharmacy | 165 West Commerce Drive, Suite 110, Belle Plaine, MN 56011 | 2017-03-10 |
| 1013454545 | Genesis Recovery Services, LLC | Pharmacy | 5 N 3rd Ave W Ste 302, Duluth, MN 55802-1614 | 2017-01-23 |
| 1104360973 | Group Health Plan, Inc. | Pharmacy | 3800 Park Nicollet Blvd Ste 1170, St Louis Park, MN 55416-2527 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | GRAND MARAIS |
| Zip Code | 55604 |
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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.