GRAND ITASCA PHARMACY
NPI 1225441157
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MN
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Itasca Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
553Medicare enrollment records show 553 clinicians reassign Medicare billing to Grand Itasca Pharmacy, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 73 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 31
Nearest to this location (20)
See all 553Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Grand Itasca Clinic And Hospital enrolled in Medicare?
Yes. Grand Itasca Clinic And Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Itasca Clinic And Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 553 clinicians in 31 Medicare specialties reassign their Medicare billing to Grand Itasca Clinic And Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (222), Internal Medicine (48) and Nurse Practitioner (48). Of these, 12 practice at this address and 73 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 32 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.
# Grand Itasca Pharmacy · NPI 1225441157
Community/Retail Pharmacy organization in Grand Rapids, Minnesota. Organization record, active in the CMS NPPES registry since June 9, 2014.
## Identity
- **NPI:** 1225441157 (Entity type: Organization)
- **Enumerated:** June 9, 2014
- **Primary specialty:** Pharmacy - Community/Retail Pharmacy · taxonomy 3336C0003X
- **Legal business name:** Grand Itasca Clinic And Hospital
- **Organization subpart:** Yes (part of Grand Itasca Clinic And Hospital)
- **Authorized official:** Jean Macdonell, CEO
## Practice location
- **Address:** 1601 GOLF COURSE RD, Grand Rapids, MN 55744-8648
- **Phone:** (218) 999-1702
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 553 clinicians in 31 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (222), Internal Medicine (48), Nurse Practitioner (48); 12 practice at this address and 73 within 10 miles; [full list](https://npiprofile.com/npi/1225441157/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2022
- **Other identifiers:** Medicaid 288995200 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1225441157) · Data from the CMS NPPES public registry.