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WATERTOWN PHARMACY
NPI 1720013279
Pharmacy - Community/Retail Pharmacy in Watertown, MN

Active since July 12, 2006
204 LEWIS AVE S, SUITE 101, WATERTOWN, MN 55388(952) 955-2153 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Watertown Pharmacy NPPES

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

WATERTOWN PHARMACY (NPI 1720013279) is a healthcare organization registered as a community/retail pharmacy in Watertown, Minnesota and active in the NPI registry since July 2006. The organization lists Rosemary Louise Rosdahl, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1720013279
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWATERTOWN PHARMACY LLC
Location Address204 LEWIS AVE S, SUITE 101Watertown, MN 55388-4500
Mailing Address204 Lewis Ave S, Suite 101Watertown, MN 55388-4500 · (952) 955-2153 · Fax (952) 955-3067
Phone(952) 955-2153
Organization SubpartNo
Authorized OfficialRosemary Louise RosdahlChief Manager · (952) 955-2153
Enumeration DateJuly 12, 2006
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1720013279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 261954
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 261954 (MN)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 261954 (MN)
204 LEWIS AVE S, Watertown, MN 55388
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Other Names 1

Doing Business AsWatertown Pharmacy

Other Identifiers 1

Medicaid1720013279MN

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 4

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.
148 services147 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.
113 services113 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
14 services14 patients

Other Providers at the Same Location NPPES 17

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

DREW JENSEN
Marriage & Family Therapist
204 LEWIS AVE S, SUITE 201
WATERTOWN, MN 55388
Carver County (952) 955-1963
KRISTIN J OLSON CFNP
Nurse Practitioner
204 LEWIS AVE S, SUITE 200
WATERTOWN, MN 55388
Carver County (952) 955-1963
DR. RYAN DEAN GOETZ D.C.
Chiropractor
204 LEWIS AVE S, SUITE 203
WATERTOWN, MN 55388
Carver County (952) 955-1974
MISS JUDY LOUISE WOELLNER SLP
Speech-Language Pathologist
204 LEWIS AVE S, STE #210
WATERTOWN, MN 55388
Carver County (952) 955-2242
RYAN GOETZ, P.A.
Chiropractor
204 LEWIS AVE S, SUTIE 203
WATERTOWN, MN 55388
Carver County (515) 320-3841
MR. JEFFREY JAMES DAGEN RPT
Physical Therapist
204 LEWIS AVE S, SUITE 210
WATERTOWN, MN 55388
Carver County (952) 955-2242
ROSEMARY LOUISE ROSDAHL RPH
Pharmacist
204 LEWIS AVE S, SUITE 101
WATERTOWN, MN 55388
Carver County (952) 955-2153
DAVID THELEN
Technician/Technologist (Optician)
204 LEWIS AVE S, SUITE 102
WATERTOWN, MN 55388
Carver County (952) 955-3553

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 Watertown Pharmacy LLC's NPI number?

The NPI number for Watertown Pharmacy LLC is 1720013279. It was assigned to this organization in the NPPES registry on July 12, 2006. The provider is doing business as Watertown Pharmacy.

Where is Watertown Pharmacy LLC located?

Watertown Pharmacy LLC is located at 204 Lewis Ave S Suite 101, Watertown, MN 55388. The listed phone number is (952) 955-2153.

What is Watertown Pharmacy LLC's specialty?

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

What insurance does Watertown Pharmacy LLC 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 50 other insurers list Watertown Pharmacy LLC 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 Watertown Pharmacy LLC was last updated on April 13, 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.