Organization Active NPI

Dawson Drug PLLC

  • Community/Retail Pharmacy
  • Dawson, MN
National Provider Identifier
1689002933
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264280 Issued in MN
Legal business name
DAWSON DRUG PLLC
Practice address
812 6TH St.
Dawson, MN 56232
Phone
(320) 769-2229
Fax
(320) 312-6337
NPI assigned
Oct 24, 2013
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Evert Olesen, PHARM DNPI 1306097290
Title
Owner
Phone
(320) 769-2229

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 264280 MN Primary

Addresses

Primary practice location

812 6TH St.
Dawson, MN 56232

Mailing address

812 6TH St.
Dawson, MN 56232
Phone (320) 769-2229

Other identifiers 1

IdentifierTypeStateIssuer
264280OtherMNMN BOARD OF PHARMACY LICENSE

Other names 1

  • Dawson Drug & Gifts Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140507000504 MN DME Supplier - Pharmacy 9032342555 Practice locations: Dawson, MN

National Provider Directory

National Provider Directory
Tax ID family
Dawson Drug Gifts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

812 6th St
Dawson, MN 56232
Phone (320) 769-2229

Practitioners & affiliated clinicians

Practitioners 1

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1689002933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 6TH ST.",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "56232",
            "telephone_number": "320-769-2229",
            "fax_number": "320-312-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 6TH ST.",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "56232",
            "telephone_number": "320-769-2229",
            "fax_number": "320-312-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON DRUG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "OLESEN",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-769-2229",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF PHARMACY LICENSE",
            "identifier": "264280",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawson Drug & Gifts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dawson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.