Carlson Drug Inc
Organization Active NPI Community/Retail Pharmacy · Ortonville, MN
NPI 1265453237 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1265453237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 262145 (MN)
- Legal business name
- CARLSON DRUG INC
- Practice address
- 147 2ND St NW
Ortonville, MN 56278-1408 - Phone
- (320) 839-6102
- Fax
- (320) 839-3985
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Carlson
- Title
- Phcy Owner
- Phone
- (320) 839-6102
Practitioners 3
-
Brian Carlson, PHARM. D.
-
Kristi Carlson, PHARMD.
-
Kerri Larson, PHARM.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Carlson Drug |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930029909 | MN | DME Supplier - Pharmacy |
9335353085 | Practice locations: Ortonville, MN |
| O20171213002961 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335353085 | Practice locations: Ortonville, MN |
National Provider Directory
Locations
147 2nd St NW
Ortonville, MN 56278
Phone (320) 839-6102
147 NW 2ND St
Ortonville, MN 56278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 262145 | MN | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
147 2ND St NW
Ortonville, MN 56278-1408
Mailing address
147 2ND St NW
Ortonville, MN 56278-1408
Phone (320) 839-6102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045042 | Other | PK | |
| 350511100 | Medicaid | MN | |
| 8530150 | Medicaid | SD |
Other names
- CARLSON DRUG
Other providers in Ortonville, MN
- Big Stone County Family Services
- Grant Wade Botker
- Eric Marlo Brandriet
- Kalai Ann Brink
- Brown Clinic PLLP
- Brian Carlson
- City of Ortonville
- David John Thor Collins
- Michelle Rose Collins
- Kiana Conrad
All providers in Ortonville, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.