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MILLE LACS HEALTH SYSTEM COMMUNITY PHARMACY- ISLE
NPI 1144242330
Pharmacy - Community/Retail Pharmacy in Isle, MN

Active since July 24, 2006CLIA 24D0651637 · Waiver
205 MAIN ST W, ISLE, MN 56342(320) 676-3115(320) 676-3136 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2022, Oct 26, 2019, Feb 21, 2017 and 1 more (4 updates tracked since 2016).

About Mille Lacs Health System Community Pharmacy- Isle NPPES

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

MILLE LACS HEALTH SYSTEM COMMUNITY PHARMACY- ISLE (NPI 1144242330) is a healthcare organization registered as a community/retail pharmacy in Isle, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Tanya Pelzer, Him Supervisor, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1144242330
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMILLE LACS HEALTH SYSTEM
Location Address205 MAIN ST WIsle, MN 56342
Mailing AddressPo Box 2Isle, MN 56342-0002 · (320) 676-3115 · Fax (320) 676-3136
Phone(320) 676-3115
Fax(320) 676-3136
Organization SubpartNo
Authorized OfficialTanya PelzerHim Supervisor, Credentialing · (320) 532-2361
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 28, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1144242330 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 · 264269
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.
205 MAIN ST W, Isle, MN 56342
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Other Names 2

Doing Business AsMille Lacs Health System Community Pharmacy- Isle
Doing Business AsThompsons Lake Country Drug Inc

Other Identifiers 1

Medicaid144242330MN

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 24D0651637

Mille Lacs Health System - Isle Clinic · Isle, MN
Active · expires Jun 30, 2028
CLIA Number24D0651637
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorLaurie Rensenbrink
Laboratory Phone(320) 532-2500
Laboratory LocationMille Lacs Health System - Isle Clinic375 West Isle Street, Isle, MN 56342
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
118 services116 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
110 services108 patients

Other Providers at the Same Location NPPES

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

KRISTINE PEGGY THOMPSON
Pharmacist
205 MAIN ST W
ISLE, MN 56342
Mille Lacs County (320) 676-3115

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 Mille Lacs Health System's NPI number?

The NPI number for Mille Lacs Health System is 1144242330. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Mille Lacs Health System Community Pharmacy- Isle and Thompsons Lake Country Drug Inc.

Where is Mille Lacs Health System located?

Mille Lacs Health System is located at 205 Main St W, Isle, MN 56342. The listed phone number is (320) 676-3115.

What is Mille Lacs Health System's specialty?

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

Does Mille Lacs Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0651637) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mille Lacs Health System 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 Mille Lacs Health System 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 Mille Lacs Health System was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.