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GRAND ITASCA PHARMACY
NPI 1225441157
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MN

Active since June 09, 2014
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744(218) 999-1702 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Itasca Pharmacy NPPES

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

GRAND ITASCA PHARMACY (NPI 1225441157) is a healthcare organization registered as a community/retail pharmacy in Grand Rapids, Minnesota and active in the NPI registry since June 2014. The organization lists Jean Macdonell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225441157
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRAND ITASCA CLINIC AND HOSPITAL
Location Address1601 GOLF COURSE RDGrand Rapids, MN 55744-8648
Mailing Address1601 Golf Course RdGrand Rapids, MN 55744-8648 · (218) 999-1885 · Fax (218) 999-1887
Phone(218) 999-1702
Organization SubpartYes
Authorized OfficialJean MacdonellCeo · (218) 326-3401
Enumeration DateJune 9, 2014
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1225441157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
1601 GOLF COURSE RD, Grand Rapids, MN 55744
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Other Names 1

Doing Business AsGrand Itasca Pharmacy

Other Identifiers 1

Medicaid288995200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MRS. JESSICA JO DAY NURSE PRACTITIONER
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401
GRAND ITASCA CLINIC AND HOSPITAL
Non-Pharmacy Dispensing Site
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-7503
EMILEE OLSON
Student in an Organized Health Care Education/Training Program
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401
LINDSEY PERATALO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 360-3401
DR. PATRICIA C. CARLIN-JANSSEN MD
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-5000
BOBBI JEAN OLSON CNP
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401
KALIE R DRAZENOVICH CNP
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (612) 244-5325
CAITLIN LEIGH MEYERS PA-C
Physician Assistant
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401

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 Grand Itasca Clinic And Hospital's NPI number?

The NPI number for Grand Itasca Clinic And Hospital is 1225441157. It was assigned to this organization in the NPPES registry on June 9, 2014. The provider is doing business as Grand Itasca Pharmacy.

Where is Grand Itasca Clinic And Hospital located?

Grand Itasca Clinic And Hospital is located at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (218) 999-1702.

What is Grand Itasca Clinic And Hospital's specialty?

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

What insurance does Grand Itasca Clinic And Hospital accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 31 other insurers list Grand Itasca Clinic And Hospital 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 Grand Itasca Clinic And Hospital was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.