Individual provider Active NPI

Kaitlyn Rose Skow, PHARMD

  • Pharmacist
  • Wadena, MN
National Provider Identifier
1073497665
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
126622 Issued in MN
Practice address
421 11TH St NW Ste 100
Wadena, MN 56482-1044
Phone
(218) 632-2600
Fax
(218) 631-8065
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 126622 MN Primary

Addresses

Primary practice location

421 11TH St NW Ste 100
Wadena, MN 56482-1044

Mailing address

421 11TH St NW Ste 100
Wadena, MN 56482-1044
Phone (218) 632-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
126622MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Drug Stores Inc CurrentSince Aug 10, 2025 Accepting new patients

Locations

421 11th St NW
#100
Wadena, MN 56482
Phone (218) 632-2600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1073497665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 11TH ST NW STE 100",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821044",
            "telephone_number": "218-632-2600",
            "fax_number": "218-631-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 11TH ST NW STE 100",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821044",
            "telephone_number": "218-632-2600",
            "fax_number": "218-631-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOW",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadena, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.