Centracare Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

261081 Issued in MN

Legal business name

CENTRACARE PHARMACY SERVICES LLC

Practice address

1555 Northway Dr Ste 150
Saint Cloud, MN 56303-4912

Phone

(320) 240-3160

Fax

(320) 255-5876

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Keith Karsky, RPHNPI 1528119864

Title

Coordinator Retail Pharm. SE

Phone

(320) 251-2700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CENTRACARE PHARMACY NORTHWAY Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

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

Member of 1

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

• Centracare Health Systems

  • Clinical Medical Laboratory
  • Saint Cloud, MN
  • NPI 1326097833

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Sleep Therapy

  • Durable Medical Equipment & Medical Supplies
  • Sartell, MN
  • NPI 1720387624

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Allen Karsky, RPH

  • Pharmacist
  • Saint Cloud, MN
  • NPI 1528119864
  NPD Authorized official
• Kenneth Dale Holmen, MD

  • Anesthesiology Physician
  • St Cloud, MN
  • NPI 1083661813
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1386600641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DR",
            "address_2": "SUITE 150",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034555",
            "telephone_number": "320-240-3160",
            "fax_number": "320-255-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DR STE 150",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034912",
            "telephone_number": "320-240-3160",
            "fax_number": "320-255-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRACARE PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "KARSKY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "COORDINATOR RETAIL PHARM. SE",
        "authorized_official_telephone_number": "320-251-2700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "261081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047034",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "649822100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRACARE PHARMACY NORTHWAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centracare Health System
• Centracare Health System
• Centracare Health System
• Centracare Health System
• Centracare Health Systems
• Centracare Surgery Center
• Centracare Surgery Center, LLC
• Central Imaging LLC
• Central Minnesota Anesthesia, LTD
• Central Minnesota Couseling Center, Inc.

• Community/Retail Pharmacy in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.