PRESCRIPTION CENTER PHARMACY INC. (NPI# 1396723797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396723797 |
| Entity Type | Organization |
| Organization Name | PRESCRIPTION CENTER PHARMACY INC. |
| Other Organization Name | SOUTHPOINTE PHARMACY |
| Practice Address |
2400 32nd Ave S Fargo ND 58103-5800 |
| Practice Telephone | 7012349912 |
| Practice Fax Number | 7012970807 |
| Mailing Telephone | 7012349912 |
| Mailing Fax Number | 7012970807 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | MR. DAVID JAMES OLIG (PRESIDENT) |
| Authorized Official Telephone | 7012349912 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 1 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 21068 | 05 |
| Other Name | Type Code |
|---|---|
| Southpointe Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639254113 | Prescription Center Pharmacy Inc. | Pharmacy | 2701 13th Ave S, Fargo, ND 58103-3602 | 2006-10-25 |
| Street Address |
2400 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693875 | Chris L Cleveland | Pediatrics | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2005-10-14 |
| 1306456470 | Darcy Thompson | Registered Nurse | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-08-04 |
| 1457988636 | Lisa Aipperspach | Dietitian, Registered | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-03-26 |
| 1588298525 | Adriane Maag Carney | Acupuncturist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-02-28 |
| 1255961090 | Bailey June Hanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-01-21 |
| 1013564624 | Erin Marie Wilmes | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-20 |
| 1346896016 | Ashley Jobe | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-17 |
| 1194371377 | Casey Murphy | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-14 |
| 1316507221 | Evan Lee Zacharias I | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-13 |
| 1801455449 | Danielle Swanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1336472505 | Midwest Drug Distribution Inc | Pharmacy | 4153 12 Th Ave. North Suite B, Fargo, ND 58102 | 2009-09-04 |
| 1518098219 | Pharmacare Inc | Pharmacy | 2345 25th St S, Suite C, Fargo, ND 58103-6173 | 2007-03-07 |
| 1588724728 | Metro Drug Co | Pharmacy | 123 Broadway N, Fargo, ND 58102-4925 | 2006-12-11 |
| 1558458844 | Sanford Medical Center Fargo | Pharmacy | 1720 S University Drive, Fargo, ND 58103-4940 | 2006-10-06 |
| 1881785053 | Thrifty Drug Limited | Pharmacy | 1532 32nd Ave S, Fargo, ND 58103-5987 | 2006-09-27 |
| 1952407892 | Thrifty Drug Limited | Pharmacy | 1521 University Dr S, Fargo, ND 58103-4169 | 2006-09-16 |
| 1447362454 | W W Inc | Pharmacy | 2800 Broadway N, Fargo, ND 58102-1420 | 2006-08-31 |
| 1538271549 | Ww Inc | Pharmacy | 1605 University Dr S, Fargo, ND 58103-4154 | 2006-08-31 |
| 1912954165 | Medical Pharmacy South Inc | Pharmacy | 4151 45th St S, Fargo, ND 58104-4312 | 2006-05-30 |
| Find all providers in FARGO | ||||
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| 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.