East Ottertail Pharmacy
NPI 1558473546 · Community/Retail Pharmacy · Perham, MN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Ottertail Pharmacy is a Community/Retail Pharmacy organization in Perham, MN (NPI 1558473546).
Provider details
- NPI number
- 1558473546
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Duane Wallace, Pharmacy Director(218) 347-1571
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
39 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 23 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 16 | $42 |
Typical Medicare-allowed amounts for these services range $30–$42 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Perham Health Pharmacy
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2016-02-10
Frequently asked questions
- What is East Ottertail Pharmacy's NPI number?
- East Ottertail Pharmacy's National Provider Identifier (NPI) is 1558473546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Ottertail Pharmacy?
- East Ottertail Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is East Ottertail Pharmacy located?
- East Ottertail Pharmacy's practice location on file with NPPES is 1000 Coney St W, Perham, MN 56573-2102.
- What is East Ottertail Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for East Ottertail Pharmacy is (218) 347-1570.
- Does East Ottertail Pharmacy accept Medicare?
- East Ottertail Pharmacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Ottertail Pharmacy?
- The authorized official listed on East Ottertail Pharmacy's NPPES record is Duane Wallace, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Ottertail Pharmacy's NPI active?
- Yes — East Ottertail Pharmacy's NPI (1558473546) is active in the NPPES registry as of the last update on 2016-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.