Ellie Kosaka

Pharmacist · Cass Lake, MN

Individual Active NPI

NPI number 1104740075

Practice location

425 7TH St NW
Cass Lake, MN 56633-3360
Phone
(218) 335-3200

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NPI record

NPI
1104740075
Entity type
Individual (Type 1)
Enumeration date
August 5, 2026
Last updated
August 5, 2026
Certified
August 5, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 4581924 ID

Mailing address

401 Irvine Ave NW Unit 1053
Bemidji, MN 56619-4048
Phone
(909) 208-0532

About Ellie Kosaka

Ellie Kosaka is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 425 7TH St NW, Cass Lake, MN 56633-3360. The NPI number 1104740075 was assigned on August 5, 2026 and the record was last updated on August 5, 2026.

Ellie Kosaka lists a license in the registry: #4581924 (ID) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellie Kosaka?

The NPI number is 1104740075.

What is the phone number of Ellie Kosaka?

The phone number listed for the practice location is (218) 335-3200.

Where is Ellie Kosaka located?

425 7TH St NW, Cass Lake, MN 56633-3360.

What is the taxonomy code for Ellie Kosaka?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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