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ESSENTIA HEALTH LAKEWALK PHARMACY
NPI 1003114539
Pharmacy - Community/Retail Pharmacy in Duluth, MN

Active since March 08, 2011CLIA 24D0404121 · Waiver
1502 LONDON RD, SUITE 101, DULUTH, MN 55812(218) 733-1110(218) 733-1112 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Essentia Health Lakewalk Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA HEALTH LAKEWALK PHARMACY (NPI 1003114539) is a healthcare organization registered as a community/retail pharmacy in Duluth, Minnesota and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Kevin Boren, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1003114539
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE DULUTH CLINIC, LTD
Location Address1502 LONDON RD, SUITE 101Duluth, MN 55812-1788
Mailing Address1502 London Rd, Suite 101Duluth, MN 55812-1788 · (218) 786-3563
Phone(218) 733-1110
Fax(218) 733-1112
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenVp Of Finance · (218) 786-1009
Enumeration DateMarch 8, 2011
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1003114539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 263667
Definition
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.
1502 LONDON RD, Duluth, MN 55812
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Other Names 1

Doing Business AsEssentia Health Lakewalk Pharmacy

Other Identifiers 3

Medicaid1003114539MN
Other2430712MN · Ncpdp
Other573MN · The Duluth Clinic, Ltd. Chain Code

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0404121

Essentia Health Lakewalk Clinic · Duluth, MN
Active · expires Sep 30, 2027
CLIA Number24D0404121
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorSandra Mattson
Laboratory Phone(218) 576-0448
Laboratory LocationEssentia Health Lakewalk Clinic1502 London Road, Duluth, MN 55812
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
167 services165 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
159 services159 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
18 services18 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Eh Lakewalk Pharmacy carries, from the Medicare DMEPOS supplier directory.

Eh Lakewalk Pharmacy

DMEPOS supplier · Duluth, MNOperated by The Duluth Clinic Ltd
✔

Accepts Medicare assignment

Eh Lakewalk Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20346905
Medicare Participant SinceOctober 24, 2022
Supplier Location1502 London Rd Ste 101Duluth, MN 55812
Phone(218) 733-1110
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE M DAY RN,MS,APRN,BC
Clinical Nurse Specialist (Adult Health)
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
St. Louis County (218) 727-8228
DR. JOSHUA ALLEN KRAMER MD
Psychiatry & Neurology (Sleep Medicine)
1502 LONDON RD
DULUTH, MN 55812
St. Louis County (218) 786-8364
DR. BETSY JEAN SCHWARTZ M.D.
Family Medicine
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
St. Louis County (218) 576-0100
PAUL ANDREW JONES M.D.
Family Medicine
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
St. Louis County (218) 727-8228
DR. CAROL JUNE FARCHMIN
Family Medicine
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
St. Louis County (218) 576-0100
JOAN H OLSON PHARMACY TECHNICIAN
Pharmacy Technician
1502 LONDON RD, SUITE 101
DULUTH, MN 55812
St. Louis County (218) 733-1110
DR. DAVID O JORDE MD
Family Medicine
1502 LONDON RD, 102
DULUTH, MN 55812
St. Louis County (218) 576-0100
ANN MARIE YAPEL PHARMACIST
Pharmacist
1502 LONDON RD, SUITE 102
DULUTH, MN 55812
St. Louis County (218) 576-0150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Duluth Clinic, Ltd's NPI number?

The NPI number for The Duluth Clinic, Ltd is 1003114539. It was assigned to this organization in the NPPES registry on March 8, 2011. The provider is doing business as Essentia Health Lakewalk Pharmacy.

Where is The Duluth Clinic, Ltd located?

The Duluth Clinic, Ltd is located at 1502 London Rd Suite 101, Duluth, MN 55812. The listed phone number is (218) 733-1110.

What is The Duluth Clinic, Ltd's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does The Duluth Clinic, Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eh Lakewalk Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does The Duluth Clinic, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0404121) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Duluth Clinic, Ltd accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list The Duluth Clinic, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Duluth Clinic, Ltd was last updated on February 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.