Organization Active NPI

Coborns Inc

Doing business as Kessler Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, SD
National Provider Identifier
1639966286
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COBORNS INC
Doing business as
Kessler Pharmacy
Practice address
621 6TH Ave SE
Aberdeen, SD 57401-4538
Phone
(605) 225-6673
Fax
(605) 225-1612
NPI assigned
Apr 24, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Chad Nellis, PHARM D
Title
Senior Director of Pharmacy
Phone
(320) 534-2743

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

621 6TH Ave SE
Aberdeen, SD 57401-4538

Mailing address

1921 Coborn Blvd
Saint Cloud, MN 56301-2100
Phone (320) 534-2744

Other identifiers 1

IdentifierTypeStateIssuer
100-2100OtherSDSOUTH DAKOTA STATE LICENSE

Other names 1

  • Kessler Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140111000102 SD Part B Supplier - Mass Immunization (Roster Biller Only) 3072416593 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, SD; Huron, SD
O20250815002326 SD DME Supplier - PharmacyDME Supplier - Grocery Store 3072416593 Practice locations: Aberdeen, SD

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2214081Kessler's Pharmacy621 6TH Ave Southeast, Aberdeen, SD 57401Certificate of waiverFeb 17, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coborn's Inc Dba Kessler's Pharmacy621 6TH Ave SE, Aberdeen, SD 57401-4538(605) 225-6673 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts Accepts assignmentParticipating since Jan 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Coborns Inc38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

630 Ryans Way
Buffalo, MN 55313
Phone (763) 330-0900

1400 Babcock Blvd E
Delano, MN 55328
Phone (763) 972-8385

19425 Evans St NW
Elk River, MN 55330
Phone (763) 389-7686

161 Glen St
Foley, MN 56329
Phone (320) 968-8625

161 Glen St
#428
Foley, MN 56329
Phone (888) 316-8625

2211 11th St E
Glencoe, MN 55336
Phone (320) 864-5192

225 33rd St W
Hastings, MN 55033
Phone (651) 437-6716

209 6th Ave NE
Isanti, MN 55040
Phone (844) 905-0005

105 E Main St
Melrose, MN 56352
Phone (320) 256-4452

3300 Highway 10 E
Moorhead, MN 56560
Phone (218) 236-0345

1220 Westridge Rd
New Ulm, MN 56073
Phone (507) 354-2511

495 W North St
Owatonna, MN 55060
Phone (507) 451-7886

209 1st St W
Park Rapids, MN 56470
Phone (218) 732-0836

1001 4th St SE
Saint Cloud, MN 56304
Phone (320) 251-5543

2118 Veterans Dr
Saint Cloud, MN 56303
Phone (320) 255-0054

5801 Ridgewood Rd
#1
Saint Cloud, MN 56303
Phone (320) 251-5543

5801 Ridgewood Rd
Ste 1
Saint Cloud, MN 56303
Phone (320) 251-5543

110 1st St S
Sauk Rapids, MN 56379
Phone (320) 253-5220

113 Waite Ave S
Waite Park, MN 56387
Phone (320) 259-1148

1401 33rd St SW
Fargo, ND 58103
Phone (701) 232-5311

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 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1639966286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 COBORN BLVD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563012100",
            "telephone_number": "320-534-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 6TH AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014538",
            "telephone_number": "605-225-6673",
            "fax_number": "605-225-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBORNS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "NELLIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "320-534-2743",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA STATE LICENSE",
            "identifier": "100-2100",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kessler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kessler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.