Active NPI
Coborns Inc
Doing business as Kessler Pharmacy
- Community/Retail Pharmacy
- Aberdeen, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- 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
- Chad Nellis, PHARM D
- Title
- Senior Director of Pharmacy
- Phone
- (320) 534-2743
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100-2100 | Other | SD | SOUTH DAKOTA STATE LICENSE |
Other names 1
- Kessler Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 - Pharmacy | 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.
-
dba Coborn's Pharmacy #2024
- Community/Retail Pharmacy
- Huron, SD
- NPI 1366514036
O20140111000102
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2214081 | Kessler's Pharmacy | Certificate of waiver | Feb 17, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Coborn's Inc Dba Kessler's Pharmacy | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Coborns Inc
Other organizations with this tax ID 37
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Coborn's Central Support Pharmacy #9942
- Community/Retail Pharmacy
- Sauk Rapids, MN
- NPI 1124684634
-
dba Coborn's Clinic Pharmacy # 2017
- Health Maintenance Organization
- Mora, MN
- NPI 1194101766
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.
-
- Pharmacist
- Waite Park, MN
- NPI 1831865971
-
- Pharmacist
- Owatonna, MN
- NPI 1326177643
-
- Pharmacist
- Albertville, MN
- NPI 1508054339
-
- Pharmacist
- Big Lake, MN
- NPI 1558646141
-
- Pharmacist
- Owatonna, MN
- NPI 1235880881
-
- Pharmacist
- Foley, MN
- NPI 1568117422
-
- Pharmacist
- Hutchinson, MN
- NPI 1154073039
-
- Pharmacist
- Saint Cloud, MN
- NPI 1003292889
-
- Pharmacist
- Albertville, MN
- NPI 1457005282
-
- Pharmacist
- Saint Cloud, MN
- NPI 1942519814
-
- Pharmacist
- Long Prairie, MN
- NPI 1659625663
-
- Pharmacist
- New Ulm, MN
- NPI 1760262521
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.