Organization Active NPI

First Choice Pharmacy of Gaylord MN, PLLC

  • Community/Retail Pharmacy
  • Gaylord, MN
National Provider Identifier
1003724642
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FIRST CHOICE PHARMACY OF GAYLORD MN, PLLC
Practice address
660 3Rd St
Gaylord, MN 55334-2297
Phone
(507) 237-2933
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Kelly, PHARMD
Title
Owner/Pharmacist
Phone
(507) 227-9678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

660 3Rd St
Gaylord, MN 55334-2297

Mailing address

255 Creek LN S
Jordan, MN 55352-1214

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1003724642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CREEK LN S",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 3RD ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553342297",
            "telephone_number": "507-237-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHARMACY OF GAYLORD MN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "507-227-9678",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.