Lake Elmo Pharmacy
Lake Elmo Pharmacy is a healthcare organization registered as Pharmacist in Lake Elmo, MN, holding Type 2 (organization) NPI 1710012646 since 2007. The authorized official on file is Nicholas Rich, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710012646 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lake Elmo Pharmacy |
| Practice address | 11240 STILLWATER BLVD N, Lake Elmo, MN, 55042 |
| Phone | 6517730889 |
| Enumeration date | 2007-02-22 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Nicholas Rich |
|---|---|
| Title | Pharmacist |
| Phone | 6517730889 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 2611044 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2419275 | Other | MN | NABP NUMBER |
Copy-ready billing details
Provider: Lake Elmo Pharmacy NPI: 1710012646 Taxonomy: 183500000X (Pharmacist) Address: 11240 STILLWATER BLVD N, Lake Elmo, MN, 55042
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174703649 | Rich Apothecary Inc | Organization | Community/Retail Pharmacy | Lake Elmo, MN |
| 1710317417 | Dental Specialists of Minnesota, Pllc | Organization | Periodontics | Lake Elmo, MN |
| 1639509334 | Pdg, P.A. | Organization | Dental Clinic/Center | Lake Elmo, MN |
| 1205356573 | Grace Medical Inc. | Organization | Durable Medical Equipment & Medical Supplies | Lake Elmo, MN |
Verify this record
Cross-check NPI 1710012646 against the authoritative CMS record: view Lake Elmo Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lake Elmo Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.