NPIMap

Organization Active NPI

The Duluth Clinic, LTD.

Doing business as Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
National Provider Identifier
1245081066
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE DULUTH CLINIC, LTD.
Doing business as
Essentia Health Hinckley Pharmacy
Practice address
45 Lady Luck Dr Ste 110
Hinckley, MN 55037-6419
Phone
(320) 279-8610
NPI assigned
Mar 29, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ESSENTIA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Kevin Boren
Title
VP of Finance
Phone
(218) 786-1009

Specialties & licenses 1

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

Addresses

Primary practice location

45 Lady Luck Dr Ste 110
Hinckley, MN 55037-6419

Mailing address

45 Lady Luck Dr Ste 110
Hinckley, MN 55037-6419
Phone (320) 279-8610

Other names 1

  • Essentia Health Hinckley Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151103001283 MN Part B Supplier - Mass Immunization (Roster Biller Only) 2567374283 16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Virginia, MN; Two Harbors, MN; Silver Bay, MN; International Falls, MN; Hinckley, MN; Hibbing, MN; Hermantown, MN; Grand Rapids, MN…
O20241112002059 MN DME Supplier - Pharmacy 2567374283 Practice locations: Hinckley, MN

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Essentia Health Hinckley Pharmacy45 Lady Luck Dr, Hinckley, MN 55037-6419(320) 279-8610 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Oct 24, 2022

National Provider Directory

National Provider Directory
Tax ID family
SMDC Duluth Clinic Deer35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 43)

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

45 North Dr
Babbitt, MN 55706
Phone (218) 365-7900

5565 Highway 210
Cromwell, MN 55726
Phone (218) 485-8123

101 W 2nd St
Ste 109
Duluth, MN 55802
Phone (218) 727-3399

102 N 58th Ave W
Duluth, MN 55807
Phone (218) 628-2705

1049 University Dr
Duluth, MN 55812
Phone (218) 726-8000

2009 London Rd
#200
Duluth, MN 55812
Phone (605) 490-5040

207 W Superior St
Ste 206
Duluth, MN 55802
Phone (218) 786-9909

211 W 4th St
Duluth, MN 55806
Phone (218) 726-1370

222 E 2nd St
Duluth, MN 55805
Phone (218) 727-8762

227 W 1st St
Duluth, MN 55802
Phone (218) 722-0053

2650 Nopeming Rd
Duluth, MN 55810
Phone (218) 628-2381

314 W Superior St
Duluth, MN 55802
Phone (218) 722-4996

314 W Superior St
Ste 300
Duluth, MN 55802
Phone (218) 722-1170

324 W Superior St
Ste 824
Duluth, MN 55802
Phone (218) 722-3185

420 E 1st St
#A
Duluth, MN 55805
Phone (218) 786-1685

4334 Haines Rd
Duluth, MN 55811
Phone (218) 726-2345

4621 E Superior St
Ste A
Duluth, MN 55804
Phone (218) 786-3784

4730 Matterhorn Cir
Duluth, MN 55811
Phone (218) 740-3433

801 Baylis St
Duluth, MN 55811
Phone (218) 529-3400

1500 E Sheridan St
#100
Ely, MN 55731
Phone (218) 365-1855

224 E Chapman St
Ely, MN 55731
Phone (218) 365-3151

515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040

4884 Miller Trunk Hwy
Hermantown, MN 55811
Phone (218) 249-4600

5075 Miller Trunk Hwy
Hermantown, MN 55811
Phone (218) 727-7450

Practitioners & affiliated clinicians

Practitioners 1,738

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,738

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1245081066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LADY LUCK DR STE 110",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550376419",
            "telephone_number": "320-279-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LADY LUCK DR STE 110",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550376419",
            "telephone_number": "320-279-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DULUTH CLINIC, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENTIA HEALTH",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "218-786-1009"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essentia Health Hinckley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Essentia Health Hinckley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinckley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.