KOZAK INC NPI 1316053622

NPI Information

NPI: 1316053622
Provider Name: KOZAK INC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: MEDICINE SHOPPE
CLIA Number: 24D0721037
Address: 1208 CLOQUET AVE
CLOQUET, MN
ZIP 55720
Phone: (218) 879-4547

Map and Directions

Get Directions

NPI Details

KOZAK INC is a community/retail pharmacy pharmacy in Cloquet, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KOZAK INC NPI is 1316053622. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

1208 CLOQUET AVE
CLOQUET, MN
ZIP 55720-622
Phone: (218) 879-4547
Fax: (218) 878-1804

The provider's authorized official is John Gust .
The authorized official title is Owner Pharmacist and has the following contact phone number (218) 879-4547.

The CLIA number assigned to this NPI record is 24D0721037 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Fee covid-19 vac 14 res (HCPCS:0134A)
Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			No
2	333600000X	Pharmacy		261341	MINNESOTA	No
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	261341	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2409894	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI