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LAKE ELMO PHARMACY
NPI 1710012646
Pharmacist in Lake Elmo, MN

Active since February 22, 2007
11240 STILLWATER BLVD N, LAKE ELMO, MN 55042(651) 773-0889 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Elmo Pharmacy NPPES

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

LAKE ELMO PHARMACY (NPI 1710012646) is a healthcare organization registered as a pharmacist in Lake Elmo, Minnesota and active in the NPI registry since February 2007. The organization lists Nicholas R Rich, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1710012646
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameLAKE ELMO PHARMACY
Location Address11240 STILLWATER BLVD NLake Elmo, MN 55042-9640
Mailing Address11240 Stillwater Blvd NLake Elmo, MN 55042-9640 · (651) 773-0889
Phone(651) 773-0889
Organization SubpartNo
Authorized OfficialNicholas R RichPharmacist · (651) 773-0889
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710012646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MN · 2611044
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
11240 STILLWATER BLVD N, Lake Elmo, MN 55042
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Other Identifiers 1

Other2419275MN · Nabp Number

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

Other Providers at the Same Location NPPES 4

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

RICH APOTHECARY INC
Pharmacy (Community/Retail Pharmacy)
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (651) 773-0889
GRACE MEDICAL INC.
Durable Medical Equipment & Medical Supplies
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (866) 514-7223
PDG, P.A.
Clinic/Center (Dental)
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (651) 777-0210
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Dentist (Periodontics)
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (651) 777-0210

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 Lake Elmo Pharmacy's NPI number?

The NPI number for Lake Elmo Pharmacy is 1710012646. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Lake Elmo Pharmacy located?

Lake Elmo Pharmacy is located at 11240 Stillwater Blvd N, Lake Elmo, MN 55042. The listed phone number is (651) 773-0889.

What is Lake Elmo Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Lake Elmo Pharmacy was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.