MIDWEST DRUG DISTRIBUTION INC


Address: 4153 12th Ave N, Fargo, ND 58102-2900
Phone: 7013738500

MIDWEST DRUG DISTRIBUTION INC (NPI# 1356570766) 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) 1356570766
Entity Type Organization
Organization Name MIDWEST DRUG DISTRIBUTION INC
Other Organization Name UNIT PAK
Practice Address 4153 12th Ave N
Fargo
ND 58102-2900
Mailing Address Po Box 9830
Salt Lake City
UT 84109-9830
Practice Telephone 7013738500
Practice Fax Number 7013738506
Mailing Telephone 7013738500
Mailing Fax Number 7013738506
Enumeration Date 2009-07-07
Last Update Date 2015-06-10
Authorized Official Name PETER LEE (PRESIDENT)
Authorized Official Telephone 7013738500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
PHAR946 ND Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2121010 01

Other Provider/Organization Names

Other Name Type Code
Unit Pak Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336472505 Midwest Drug Distribution Inc Pharmacy 4153 12 Th Ave. North Suite B, Fargo, ND 58102 2009-09-04

Office Location

Street Address 4153 12TH AVE N
City FARGO
State ND
Zip Code 58102-2900

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
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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
1730453366 Integrated Health Marketing LLC Pharmacy 5675 26th Ave S Ste 136b, Fargo, ND 58104-8975 2012-02-29
1003906942 White Drug Co of Jamestown Inc Pharmacy 706 38th St N, Unit A, Fargo, ND 58102-2953 2006-10-13
1215026828 White Drug Co of Jamestown Inc Pharmacy 1401 33rd St Sw, Fargo, ND 58103-3413 2006-10-12
1386664829 Linson Pharmacy, Ltd Pharmacy 3175 25th St S, Fargo, ND 58103-6171 2006-07-20
1528120870 Medical Pharmacy Inc Pharmacy 100 4th St S, Fargo, ND 58103-1929 2006-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881162972 White Drug Co of Jamestown Inc Pharmacy 900 Ne 43rd Ave, Bismarck, ND 58503 2018-11-06
1932628633 Central Avenue Pharmacy, Inc Pharmacy 323 Central Ave N Ste 101, Valley City, ND 58072-2915 2017-09-13
1720527120 North Hill Pharmacy LLC Pharmacy 2111 Landmark Cir Nw Ste C, Minot, ND 58703 2017-02-17
1548627631 Crosby Drug LLC Pharmacy 30 Main Street North, Crosby, ND 58730-0050 2016-01-21
1548572076 White Drug Co of Jamestown Inc Pharmacy 121 N Broadway St, Linton, ND 58552-7018 2010-07-13
1982927406 Walls Ltc Pharmacy Inc Pharmacy 1322 8th Ave S, Grand Forks, ND 58201 2010-03-11
1609908631 Aasen Drug Inc Pharmacy 15 Main St E, Mayville, ND 58257-1435 2007-03-13
1164579249 Pharmacists Associates LLC Pharmacy 203 Towner Ave, Larimore, ND 58251-4311 2007-01-04
1710056452 Churchill Pharmacy Inc Pharmacy 509 Ash Ave, New Salem, ND 58563-4501 2006-11-07
1386734226 White Drug Co of Jamestown Inc Pharmacy 425 College Dr S, Suite 10, Devils Lake, ND 58301-3537 2006-10-13
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Competitor

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City FARGO
Zip Code 58102

Improve Information

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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.

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