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ESSENTIA HEALTH PEQUOT LAKES PHARMACY
NPI 1578034575
Pharmacy - Community/Retail Pharmacy in Pequot Lakes, MN

Active since December 17, 2018
30581 PATRIOT AVE STE A, PEQUOT LAKES, MN 56472(218) 568-5884(218) 568-8473 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 20, 2021, Jun 4, 2019, May 9, 2019 and 1 more (4 updates tracked since 2018).

About Essentia Health Pequot Lakes Pharmacy NPPES

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

ESSENTIA HEALTH PEQUOT LAKES PHARMACY (NPI 1578034575) is a healthcare organization registered as a community/retail pharmacy in Pequot Lakes, Minnesota and active in the NPI registry since December 2018. The organization lists Kevin Boren, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1578034575
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBRAINERD MEDICAL CENTER INC
Location Address30581 PATRIOT AVE STE APequot Lakes, MN 56472-4112
Mailing Address30581 Patriot Ave Ste APequot Lakes, MN 56472-4112 · (218) 568-5884 · Fax (218) 568-8473
Phone(218) 568-5884
Fax(218) 568-8473
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenVp Of Finance · (218) 786-1009
Enumeration DateDecember 17, 2018
Last NPPES UpdateFebruary 26, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1578034575 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.
30581 PATRIOT AVE STE A, Pequot Lakes, MN 56472
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Other Names 1

Doing Business AsEssentia Health Pequot Lakes Pharmacy

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 ›

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.
68 services67 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
62 services62 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Essentia Health Pequot Lakes Pharma carries, from the Medicare DMEPOS supplier directory.

Essentia Health Pequot Lakes Pharma

DMEPOS supplier · Pequot Lakes, MNOperated by Brainerd Medical Center Inc
✔

Accepts Medicare assignment

Essentia Health Pequot Lakes Pharma agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20569301
Medicare Participant SinceJanuary 2, 2007
Supplier Location30581 Patriot Ave Ste APequot Lakes, MN 56472
Phone(218) 568-5884
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Brainerd Medical Center Inc's NPI number?

The NPI number for Brainerd Medical Center Inc is 1578034575. It was assigned to this organization in the NPPES registry on December 17, 2018. The provider is doing business as Essentia Health Pequot Lakes Pharmacy.

Where is Brainerd Medical Center Inc located?

Brainerd Medical Center Inc is located at 30581 Patriot Ave Ste A, Pequot Lakes, MN 56472. The listed phone number is (218) 568-5884.

What is Brainerd Medical Center Inc's specialty?

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

Does Brainerd Medical Center Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Essentia Health Pequot Lakes Pharma accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Brainerd Medical Center Inc 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 49 other insurers list Brainerd Medical Center Inc 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 Brainerd Medical Center Inc was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.