OrganizationActive
Country Manor Campus LLC
NPI 1497929558 · Long Term Care Pharmacy · Sartell, MN
Provider details
- NPI number
- 1497929558
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Joshua Lemm, Pharmacist in Charge(320) 255-0801
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
520 1st St Ne
Suite a
Sartell, MN 56377-1274
Phone: (320) 255-0801
Fax: (320) 230-3825
Street-level locationGet directions
Mailing address
520 1st St Ne
Sartell, MN 56377-1274
Other names (DBA / former)
- Doing business as
- Country Manor Ltc Pharmacy
- Doing business as
- Country Manor Ltc Pharmacy
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2021-06-30
- Certified
- 2021-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.