NORTH DAKOTA STATE UNIVERSITY


Address: 301 Np Avenue, Fargo, ND 58102
Phone: 7012711489

NORTH DAKOTA STATE UNIVERSITY (NPI# 1194805796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194805796
Entity Type Organization
Organization Name NORTH DAKOTA STATE UNIVERSITY
Other Organization Name FAMILY HEALTHCARE PHARMACY, NDSU
Practice Address 301 Np Avenue
Fargo
ND 58102
Practice Telephone 7012711489
Mailing Telephone 7012711489
Mailing Fax Number 7012713345
Enumeration Date 2006-10-17
Last Update Date 2012-11-02
Authorized Official Name SUSAN NELSON (PHARMACY DIRECTOR)
Authorized Official Telephone 7012711489
Authorized Official Credential RPH
Is Organization Subpart Y
Parent Organization Name NORTH DAKOTA STATE UNIVERSITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
117 ND Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
ND 21376 05
MN 707614200 05

Other Provider/Organization Names

Other Name Type Code
Family HealthCare Pharmacy, NDSU Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427152115 North Dakota State University Pharmacist 1707 Centennial Boulevard, Fargo, ND 58102 2006-09-12
1811939416 North Dakota State University Pharmacy 1707 Centennial Blvd, Fargo, ND 58102 2006-06-11
1972000768 North Dakota State University Pharmacy 4025 9th Ave S, Fargo, ND 58103-2101 2018-04-09

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NORTH DAKOTA STATE UNIVERSITY 1919 University Dr N, Ste 102, Fargo, ND 58102-1843

Office Location

Street Address 301 NP AVENUE
City FARGO
State ND
Zip Code 58102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871013342 Kara Ann Kniert Nurse Practitioner 301 Np Avenue, Fargo, ND 58102 2017-06-26
1578915013 Lisa Nicole Gingrey Dentist 301 Np Avenue, Fargo, ND 58102-4835 2016-07-08
1427276260 Kinsey Bjorn Nelson Family Medicine 301 Np Avenue, Fargo, ND 58102 2007-04-24
1275613853 Susan Wolf Nelson Pharmacist 301 Np Avenue, Fargo, ND 58102-4820 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
Find all providers in zip 58102

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811939416 North Dakota State University Pharmacy 1707 Centennial Blvd, Fargo, ND 58102 2006-06-11
1972000768 North Dakota State University Pharmacy 4025 9th Ave S, Fargo, ND 58103-2101 2018-04-09
1639254113 Prescription Center Pharmacy Inc. Pharmacy 2701 13th Ave S, Fargo, ND 58103-3602 2006-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265884308 Spirit Lake Tribe Pharmacy 3883 74th Ave Ne, Fort Totten, ND 58335 2016-07-12
1730307125 Trenton Indian Service Area Pharmacy 331 4th Ave E, Trenton, ND 58853-9998 2007-04-23

Competitor

Search similar providers

City FARGO
Zip Code 58102

Improve Information

Please comment or provide details below to improve the information on NORTH DAKOTA STATE UNIVERSITY.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches