FORMAN DRUG INC (NPI# 1417945080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417945080 |
| Entity Type | Organization |
| Organization Name | FORMAN DRUG INC |
| Other Organization Name | FORMAN DRUG INC |
| Practice Address |
330 Main St S Forman ND 58032-4001 |
| Mailing Address |
Po Box 35 Forman ND 58032-0035 |
| Practice Telephone | 7017246222 |
| Practice Fax Number | 7017243842 |
| Mailing Telephone | 7017246222 |
| Mailing Fax Number | 7017243842 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | NATHAN SCHLECHT (OWNER) |
| Authorized Official Telephone | 7017246222 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR19 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1454161 | 05 | |
| PK | 2070822 | 01 |
| Other Name | Type Code |
|---|---|
| FORMAN DRUG INC | Doing Business As Name - Organization |
| Street Address |
330 MAIN ST S |
| City | FORMAN |
| State | ND |
| Zip Code | 58032-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046093 | Nathan Wilbur Schlecht | Pharmacist | 330 Main St S, Forman, ND 58032-4001 | 2005-10-07 |
| 1619453362 | Kelsy Martinson | Pharmacist | 330 Main St S, Forman, ND 58032-4001 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265514756 | Sargent County Ambulance Forman | Ambulance | 355 Main St S, Forman, ND 58032 | 2006-10-20 |
| 1255469631 | County of Sargent | Public Health or Welfare | 316 Main Street, Forman, ND 58032 | 2007-02-28 |
| 1073520003 | Sanford Clinic North | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-02 |
| 1013926005 | Southeast Therapy Services Inc | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-07 |
| 1497384184 | Rosanne Clare Lohman | Nurse Practitioner | 336 Main St S, Forman, ND 58032-4001 | 2020-04-04 |
| 1750799235 | Kari Gilje | Social Worker | 355 Main St S, Suite #7, Forman, ND 58032-4149 | 2014-07-28 |
| 1134536360 | Sargent County Social Services | Case Management | 355 Main St S, Suite #7, Forman, ND 58032-4149 | 2014-07-21 |
| 1518371327 | Darci Weber | Social Worker | 355 Main St S, Forman, ND 58032-4149 | 2014-06-19 |
| 1861470429 | Four Seasons Healthcare Center Inc | Nursing Facility/Intermediate Care Facility | 483 4th St Sw, Forman, ND 58032-4210 | 2006-01-04 |
| 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] |
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| 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 |
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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.