Active NPI
Jerry's Enterprises, Inc
Doing business as Jerry's Pharmacy
- Community/Retail Pharmacy
- North Branch, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JERRY'S ENTERPRISES, INC
- Doing business as
- Jerry's Pharmacy
- Practice address
- 5418 Saint Croix TRL
North Branch, MN 55056-4203 - Phone
- (651) 243-5325
- Fax
- (651) 243-5324
- NPI assigned
- Jul 15, 2019
- Last updated
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Marie Mell, DOCTOR OF PHARMACY
- Title
- Pharmacist in Charge
- Phone
- (651) 243-5325
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5418 Saint Croix TRL
North Branch, MN 55056-4203
Mailing address
5418 Saint Croix TRL
North Branch, MN 55056-4210
Phone (651) 243-5325
Other names 1
- Jerry's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131106000139 | MN | Part B Supplier - Pharmacy | 5395907141 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hawley, MN; Paynesville, MN |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba NuCara Pharmacy #23
- Community/Retail Pharmacy
- Paynesville, MN
- NPI 1639251424
O20131106000139
-
dba NuCara Pharmacy #38
- Community/Retail Pharmacy
- Hawley, MN
- NPI 1689095952
O20131106000139
-
dba NuCara Pharmacy #37
- Community/Retail Pharmacy
- Montezuma, IA
- NPI 1447778253
O20131106000139
National Provider Directory
National Provider DirectoryLocations
5418 Saint Croix Trl
North Branch, MN 55056
Phone (651) 243-5325
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.
-
- Pharmacist
- North Branch, MN
- NPI 1477848893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1265084792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5418 SAINT CROIX TRL",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550564210",
"telephone_number": "651-243-5325",
"fax_number": "651-243-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5418 SAINT CROIX TRL",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550564203",
"telephone_number": "651-243-5325",
"fax_number": "651-243-5324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY'S ENTERPRISES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-15",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "MELL",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "651-243-5325",
"authorized_official_credential": "DOCTOR OF PHARMACY"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jerry's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Branch, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.