CROSIER PARK PHARMACY LLC – Pharmacy, NPI 1174520332
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CROSIER PARK PHARMACY LLC
14th Street, Hastings, Dakota County, Minnesota, 55033, United States
HASTINGS, NE 689013204
Phone: (402) 462-4600
Fax: (402) 462-4605
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (837 days ago).
Enrollment records
2
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930073432 | O | Pharmacy | NE | 2024-02-29 |
| O20130726000098 | O | Mass Immunization (Roster Biller Only) | NE | 2024-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 59 | 59 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 55 | 55 | $0 |
Insurance plans in this area (ZIP 68901)
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