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ROLSETH DRUG CO
NPI 1114544822
Pharmacy - Long Term Care Pharmacy in Wyoming, MN

Active since June 29, 2020CLIA 24D2204103 · Waiver
26709 FOREST BLVD, WYOMING, MN 55092(651) 462-2082(651) 462-1089 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rolseth Drug Co NPPES

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

ROLSETH DRUG CO (NPI 1114544822), doing business as Wyoming Drug, is a healthcare organization registered as a long term care pharmacy in Wyoming, Minnesota and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Thomas Haas, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1114544822
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameROLSETH DRUG CO
Location Address26709 FOREST BLVDWyoming, MN 55092-8022
Mailing Address26709 Forest BlvdWyoming, MN 55092-8022 · (651) 462-2082 · Fax (651) 462-1089
Phone(651) 462-2082
Fax(651) 462-1089
Organization SubpartYes
Authorized OfficialThomas HaasPharmacist · (651) 464-2114
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1114544822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
26709 FOREST BLVD, Wyoming, MN 55092
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Other Names 1

Doing Business AsWyoming Drug

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 24D2204103

Rolseth Drug Co · Forest Lake, MN
Active · expires Dec 7, 2026
CLIA Number24D2204103
Laboratory TypePharmacy
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorTom Haas
Laboratory Phone(651) 464-2114
Laboratory LocationRolseth Drug Co107 Lake Street N, Forest Lake, MN 55025
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rolseth Drug Co's NPI number?

The NPI number for Rolseth Drug Co is 1114544822. It was assigned to this organization in the NPPES registry on June 29, 2020. The provider is doing business as Wyoming Drug.

Where is Rolseth Drug Co located?

Rolseth Drug Co is located at 26709 Forest Blvd, Wyoming, MN 55092. The listed phone number is (651) 462-2082.

What is Rolseth Drug Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Rolseth Drug Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2204103) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rolseth Drug Co accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 14 other insurers list Rolseth Drug Co 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 Rolseth Drug Co was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.