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COUNTRY STORE AND PHARMACY
NPI 1871767939
Pharmacy - Community/Retail Pharmacy in Sartell, MN

Active since April 18, 2008
520, 1ST. ST. NE, SARTELL, MN 56377(320) 255-0801 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2021, Sep 8, 2020 (2 updates tracked since 2020).

About Country Store And Pharmacy NPPES

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

COUNTRY STORE AND PHARMACY (NPI 1871767939) is a healthcare organization registered as a community/retail pharmacy in Sartell, Minnesota and active in the NPI registry since April 2008. The organization lists Kevin Harguth, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1871767939
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOUNTRY MANOR CAMPUS LLC
Location Address520, 1ST. ST. NESartell, MN 56377-1274
Mailing Address520, 1st. St. NeSartell, MN 56377-1274 · (320) 255-0801
Phone(320) 255-0801
Organization SubpartYesParent: The Foundation For Health Care Continuums
Authorized OfficialKevin HarguthC.f.o. · (320) 258-8983
Enumeration DateApril 18, 2008
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1871767939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
520, 1ST. ST. NE, Sartell, MN 56377
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Other Names 1

Doing Business AsCountry Store And 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 ›

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 Country Manor Campus LLC's NPI number?

The NPI number for Country Manor Campus LLC is 1871767939. It was assigned to this organization in the NPPES registry on April 18, 2008. The provider is doing business as Country Store And Pharmacy.

Where is Country Manor Campus LLC located?

Country Manor Campus LLC is located at 520, 1st. St. NE, Sartell, MN 56377. The listed phone number is (320) 255-0801.

What is Country Manor Campus LLC's specialty?

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

What insurance does Country Manor Campus 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 Country Manor Campus 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 Country Manor Campus LLC was last updated on June 30, 2021. 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.