NPIMap

Organization Active NPI

SLTN Pharmacy Services, LTD.

Doing business as GuidePoint Pharmacy #110

  • Community/Retail Pharmacy
  • Slayton, MN
National Provider Identifier
1245677590
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264129 Issued in MN
Legal business name
SLTN PHARMACY SERVICES, LTD.
Doing business as
GuidePoint Pharmacy #110
Practice address
2010 Juniper Ave
Slayton, MN 56172-1017
Phone
(507) 873-2075
Fax
(507) 873-2076
NPI assigned
May 28, 2013
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Chelsey Lane Carlson, PHARM.D.NPI 1013383272
Title
Pharmacist
Phone
(507) 873-2075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 264129 MN Primary

Addresses

Primary practice location

2010 Juniper Ave
Slayton, MN 56172-1017

Mailing address

2010 Juniper Ave
Slayton, MN 56172-1017
Phone (507) 873-2075

Other identifiers 1

IdentifierTypeStateIssuer
264129OtherMNMINNESOTA BOARD OF PHARMACY LICENSE

Other names 1

  • GuidePoint Pharmacy #110 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140714000045 MN DME Supplier - Pharmacy 1759506488 Practice locations: Slayton, MN
O20141023000002 MN Part B Supplier - Mass Immunization (Roster Biller Only) 1759506488 2 other NPIs on this enrollment
Practice locations: Edgerton, MN; Fulda, MN; Slayton, MN

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
SLTN Pharmacy Services LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1245677590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 JUNIPER AVE",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721017",
            "telephone_number": "507-873-2075",
            "fax_number": "507-873-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 JUNIPER AVE",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721017",
            "telephone_number": "507-873-2075",
            "fax_number": "507-873-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLTN PHARMACY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "507-873-2075",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF PHARMACY LICENSE",
            "identifier": "264129",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidePoint Pharmacy #110",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slayton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.