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SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
NPI 1437203882
Pharmacy in Prior Lake, MN

Active since January 23, 2007
15045 MYSTIC LAKE DR NW, PRIOR LAKE, MN 55372(952) 233-2900(952) 233-8066 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 31, 2016, Feb 5, 2016 (2 updates tracked since 2016).

About Shakopee Mdewakanton Sioux Community NPPES

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

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY (NPI 1437203882), doing business as Shakopee Mdewakanton Sioux Comm Phcy, is a healthcare organization registered as a pharmacy in Prior Lake, Minnesota and active in the NPI registry since January 2007. The organization lists William Weiers, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1437203882
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Location Address15045 MYSTIC LAKE DR NWPrior Lake, MN 55372-9011
Mailing Address15045 Mystic Lake Dr NwPrior Lake, MN 55372-9011 · (952) 233-2900 · Fax (952) 233-8066
Phone(952) 233-2900
Fax(952) 233-8066
Organization SubpartNo
Authorized OfficialWilliam WeiersPharmacy Director · (952) 233-2900
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJanuary 20, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2025
✔ NPI 1437203882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MN · 262982
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
15045 MYSTIC LAKE DR NW, Prior Lake, MN 55372
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Other Names 2

Doing Business AsShakopee Mdewakanton Sioux Comm Phcy
Doing Business AsSmsc Pharmacy

Other Identifiers 1

Other2049180Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. MATTHEW STEVEN PIVEC PHARM.D.
Pharmacist
15045 MYSTIC LAKE DR NW
PRIOR LAKE, MN 55372
Scott County (952) 233-2900
MR. WILLIAM J. WEIERS
Pharmacist
15045 MYSTIC LAKE DR NW
PRIOR LAKE, MN 55372
Scott County (952) 233-2900

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 Shakopee Mdewakanton Sioux Community's NPI number?

The NPI number for Shakopee Mdewakanton Sioux Community is 1437203882. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Shakopee Mdewakanton Sioux Comm Phcy and Smsc Pharmacy.

Where is Shakopee Mdewakanton Sioux Community located?

Shakopee Mdewakanton Sioux Community is located at 15045 Mystic Lake Dr NW, Prior Lake, MN 55372. The listed phone number is (952) 233-2900.

What is Shakopee Mdewakanton Sioux Community's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Shakopee Mdewakanton Sioux Community accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 18 other insurers list Shakopee Mdewakanton Sioux Community 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 Shakopee Mdewakanton Sioux Community was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.