Organization Active NPI

Pelican Drug Inc

Doing business as Pelican Drug

  • Community/Retail Pharmacy
  • Pelican Rapids, MN
National Provider Identifier
1467510586
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
259988 Issued in MN
Legal business name
PELICAN DRUG INC
Doing business as
Pelican Drug
Practice address
11 N Broadway
Pelican Rapids, MN 56572-4138
Phone
(218) 863-1441
Fax
(218) 863-1558
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Donald Perrin, BSNPI 1689909079
Title
Pres
Phone
(218) 863-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 259988 MN Primary

Addresses

Primary practice location

11 N Broadway
Pelican Rapids, MN 56572-4138

Mailing address

PO Box 621
Pelican Rapids, MN 56572-0621
Phone (218) 863-1441

Other identifiers 2

IdentifierTypeStateIssuer
2045050OtherPK
516757400MedicaidMN

Other names 1

  • PELICAN DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210512000201 MN Part B Supplier - Pharmacy 1658498829 Practice locations: Pelican Rapids, MN

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1467510586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565720621",
            "telephone_number": "218-863-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N BROADWAY",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565724138",
            "telephone_number": "218-863-1441",
            "fax_number": "218-863-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "218-863-1441",
        "authorized_official_credential": "BS"
    },
    "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": "259988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516757400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PELICAN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelican Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.