WHITE DRUG CO OF JAMESTOWN INC (NPI# 1205926144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205926144 |
| Entity Type | Organization |
| Organization Name | WHITE DRUG CO OF JAMESTOWN INC |
| Other Organization Name | WHITE DRUG #57 |
| Practice Address |
108 Central Ave N Maddock ND 58348-7204 |
| Mailing Address |
6055 Nathan Ln N Suite 200 Plymouth MN 55442-1674 |
| Practice Telephone | 7014382567 |
| Practice Fax Number | 7014382144 |
| Mailing Telephone | 7635134300 |
| Mailing Fax Number | 7635134380 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | TIMOTHY WEIPPERT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7635853507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR218 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1455900 DME | 05 | |
| PK | 2071503 | 01 |
| Other Name | Type Code |
|---|---|
| WHITE DRUG #57 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1760808299 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 506 W Villard St, Dickinson, ND 58601-5017 | 2014-03-07 |
| 1477997005 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 387 11th St S Ofc 2, Wahpeton, ND 58075-4677 | 2013-04-25 |
| 1548572076 | White Drug Co of Jamestown Inc | Pharmacy | 121 N Broadway St, Linton, ND 58552-7018 | 2010-07-13 |
| 1730369711 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 4255 30th Ave S, Fargo, ND 58104-8427 | 2007-11-07 |
| 1730242728 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 102 Division Ave S, Cavalier, ND 58220-4005 | 2006-12-19 |
| 1477643310 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 115 Main St W, Mohall, ND 58761-4313 | 2006-10-13 |
| 1588754428 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 310 1st Ave S, Jamestown, ND 58401-4154 | 2006-10-13 |
| 1003906942 | White Drug Co of Jamestown Inc | Pharmacy | 706 38th St N, Unit A, Fargo, ND 58102-2953 | 2006-10-13 |
| 1386734226 | White Drug Co of Jamestown Inc | Pharmacy | 425 College Dr S, Suite 10, Devils Lake, ND 58301-3537 | 2006-10-13 |
| Street Address |
108 CENTRAL AVE N |
| City | MADDOCK |
| State | ND |
| Zip Code | 58348-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548759806 | Samantha Mccloud | Speech-Language Pathologist | 909 1st Street, Maddock, ND 58348 | 2018-05-02 |
| 1073982484 | Benson County Dba Benson County Transportation | Non-emergency Medical Transport (VAN) | 105 Central Ave, Suite 201, Maddock, ND 58348 | 2015-09-16 |
| 1760539100 | Maddock Ambulance Service | Ambulance | 206 Lincoln Ave, Maddock, ND 58348-0208 | 2007-01-05 |
| 1013015841 | Linda H Elllingson | Physician Assistant | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2006-09-20 |
| 1437573037 | Memorial Hospital Association | Assisted Living Facility | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2014-02-18 |
| 1740451038 | Good Samaritan Hospital Association | Family Medicine | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2008-03-14 |
| 1790384469 | Mechelle Solberg | Technician | 3149 48th Ave Ne, Maddock, ND 58348-9650 | 2020-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384469 | Mechelle Solberg | Technician | 3149 48th Ave Ne, Maddock, ND 58348-9650 | 2020-10-22 |
| 1548759806 | Samantha Mccloud | Speech-Language Pathologist | 909 1st Street, Maddock, ND 58348 | 2018-05-02 |
| 1760539100 | Maddock Ambulance Service | Ambulance | 206 Lincoln Ave, Maddock, ND 58348-0208 | 2007-01-05 |
| 1013015841 | Linda H Elllingson | Physician Assistant | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2006-09-20 |
| 1073982484 | Benson County Dba Benson County Transportation | Non-emergency Medical Transport (VAN) | 105 Central Ave, Suite 201, Maddock, ND 58348 | 2015-09-16 |
| 1437573037 | Memorial Hospital Association | Assisted Living Facility | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2014-02-18 |
| 1740451038 | Good Samaritan Hospital Association | Family Medicine | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2008-03-14 |
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1912416876 | Lifescript Pharmacy Pllc | Pharmacy | 5670 38th Ave S Unit A, Fargo, ND 58104-9051 | 2017-09-23 |
| 1205231990 | N D Pharmacy Inc | Pharmacy | 1283 Roughrider Blvd, Dickinson, ND 58601-6780 | 2014-10-24 |
| 1063839496 | G & G Rx Inc | Pharmacy | 1500 14th Street West, Suite 150, Williston, ND 58801-5303 | 2014-03-24 |
| 1962706036 | Inhealth Specialty Pharmacy, Inc. | Pharmacy | 2345 25th St S Ste C, Fargo, ND 58103-6173 | 2011-01-05 |
| 1982826756 | Integrated Health Marketing LLC | Pharmacy | 5675 26th Ave S Ste 136a, Fargo, ND 58104-8975 | 2007-05-02 |
| 1689725434 | Tioga Drug Inc | Pharmacy | 106 N. Main St., Tioga, ND 58852 | 2007-01-16 |
| 1891855326 | Sanger Inc | Pharmacy | 4101 13th Ave S, Fargo, ND 58103-3342 | 2006-12-12 |
| 1457419962 | Johnson Drug Co | Pharmacy | 2522 N Broadway, Fargo, ND 58102 | 2006-12-05 |
| 1306931977 | B & E Pharmacy Services Inc | Pharmacy | 2015 Library Circle, Grand Forks, ND 58201 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WHITE DRUG CO OF JAMESTOWN INC.
| 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.