KENNEDY DRUG
NPI 1427101112
Pharmacy - Community/Retail Pharmacy in Lake City, MN

Q: What is Astrup Drug, Inc's NPI number?

The NPI number for Astrup Drug, Inc is 1427101112. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Kennedy Drug.

Q: What is Astrup Drug, Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Astrup Drug, Inc was last updated on June 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2007CLIA 24D2336885 · Waiver

223 S LAKESHORE DR, LAKE CITY, MN 55041(651) 345-3411(651) 345-4848 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2019, Dec 13, 2018, Nov 17, 2016 and 1 more (4 updates tracked since 2016).

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About Kennedy Drug NPPES

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

KENNEDY DRUG (NPI 1427101112) is a healthcare organization registered as a community/retail pharmacy in Lake City, Minnesota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Dan Astrup, Owner, as its authorized official.

NPPES Registry Identity

NPI1427101112

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameASTRUP DRUG, INC

Location Address223 S LAKESHORE DRLake City, MN 55041-1642

Mailing Address905 N Main StAustin, MN 55912-3557 · (507) 434-7425 · Fax (507) 433-1632

Phone(651) 345-3411

Fax(651) 345-4848

Organization SubpartYes

Authorized OfficialDan AstrupOwner · (507) 433-7447

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJune 18, 20194 updates tracked since enumeration

✔ NPI 1427101112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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.

Also ListedPharmacistTaxonomy 183500000X · License 260316-2 (MN)

Also ListedAssisted Living FacilityTaxonomy 310400000X · License 260316 (MN)

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 260316 (MN)

Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 260316 (MN)

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

223 S LAKESHORE DR, Lake City, MN 55041

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Other Names 1

Doing Business AsKennedy Drug

Other Identifiers 1

Medicaid421758600MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 24D2336885

Kennedy Drug · Lake City, MN

Active · expires Jan 12, 2028

CLIA Number24D2336885

Laboratory TypePharmacy

Certificate Effective DateJanuary 13, 2026

Certificate Expiration DateJanuary 12, 2028

Laboratory DirectorBrad Nelson

Laboratory Phone(651) 345-3411

Laboratory LocationKennedy Drug223 S Lakeshore Dr, Lake City, MN 55041

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

200 services199 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.

169 services169 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

33 services33 patients

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Other Providers at the Same Location NPPES 6

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

MR. QUINN SWEENEY

Pharmacist