Individual provider Active NPI

Allyson Carolyn Waletski, PHARMD

  • Pharmacist
  • Saint Cloud, MN
National Provider Identifier
1881516193
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
127435 Issued in MN
Practice address
125 Lincoln Ave SE
Saint Cloud, MN 56304-0823
Phone
(320) 654-0712
NPI assigned
Jul 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 127435 MN Primary

Addresses

Primary practice location

125 Lincoln Ave SE
Saint Cloud, MN 56304-0823

Mailing address

5274 130TH Ave
Royalton, MN 56373-4134
Phone (320) 290-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1881516193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 130TH AVE",
            "city": "ROYALTON",
            "state": "MN",
            "postal_code": "563734134",
            "telephone_number": "320-290-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LINCOLN AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040823",
            "telephone_number": "320-654-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALETSKI",
        "first_name": "ALLYSON",
        "middle_name": "CAROLYN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.