Petoskey, Inc.
Petoskey, Inc. is a healthcare organization registered as Community/Retail Pharmacy in Duluth, MN, holding Type 2 (organization) NPI 1912116054 since 2007. The authorized official on file is Charles Korsch, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912116054 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Petoskey, Inc. |
| Other name | <Unavail> |
| Practice address | 109 N 2ND AVE W, SUITE 200, Duluth, MN, 55802 |
| Phone | 2187336800 |
| Fax | 2187404048 |
| Enumeration date | 2007-05-22 |
| Last updated in NPPES | 2009-11-30 |
Authorized official
| Name | Charles Korsch |
|---|---|
| Title | Ceo |
| Phone | 2187336800 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Secondary | 263020 | MN |
| 3336C0003X | Community/Retail Pharmacy | Primary | 263020 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 945437000 | Medicaid | MN | — |
Copy-ready billing details
Provider: Petoskey, Inc. NPI: 1912116054 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 109 N 2ND AVE W, SUITE 200, Duluth, MN, 55802
Verify this record
Cross-check NPI 1912116054 against the authoritative CMS record: view Petoskey, Inc. 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 the NPI number for Petoskey, Inc.?
Who is the authorized official for Petoskey, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2009-11-30.