Grand Itasca Clinic and Hospital
NPI 1902379159ActiveOrganization· Pharmacy, Institutional Pharmacy· Grand Rapids, MN
Pharmacy, Institutional Pharmacy in Grand Rapids, Minnesota, registered in NPPES in January 2019, part of Grand Itasca Clinic & Hospital. The authorized official on file is Jean Macdonell, Vp, Clinic Services.
Overview
| NPI | 1902379159 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Grand Itasca Clinic & Hospital |
| NPI issued | Jan 9, 2019 |
| Last updated in NPPES | Oct 23, 2026 |
| Certified by provider | Oct 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | — | — |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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