DAKOTA CLINIC PHARMACY LLC


Address: 3000 32nd Ave S, Fargo, ND 58103-6132
Phone: 7013647800

DAKOTA CLINIC PHARMACY LLC (NPI# 1588021943) 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) 1588021943
Entity Type Organization
Organization Name DAKOTA CLINIC PHARMACY LLC
Other Organization Name DAKOTA CLINIC PHARMACY ON 32ND AVENUE
Practice Address 3000 32nd Ave S
Fargo
ND 58103-6132
Mailing Address 1702 University Dr S
Fargo
ND 58103-4940
Practice Telephone 7013647800
Practice Fax Number 7013647808
Mailing Telephone 7013643450
Mailing Fax Number 7013643382
Enumeration Date 2016-01-15
Last Update Date 2016-06-13
Authorized Official Name LAURA MORRIS (PHARMACIST, CO-OWNER)
Authorized Official Telephone 7013643450
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHAR313 ND Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2158673 01

Other Provider/Organization Names

Other Name Type Code
DAKOTA CLINIC PHARMACY ON 32nd AVENUE Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154332716 Dakota Clinic Pharmacy LLC Pharmacy 1702 University Dr S, Fargo, ND 58103-4940 2006-08-10

Office Location

Street Address 3000 32ND AVE S
City FARGO
State ND
Zip Code 58103-6132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073506648 Randy K Metcalf Thoracic Surgery (Cardiothoracic Vascular Surgery) 3000 32nd Ave S, Fargo, ND 58103-6132 2005-08-29
1861006504 Hallie M Tiffany Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-09-01
1144846452 Andrea Patrice Solberg Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-23
1669098976 Nathaniel James Piersol Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-23
1710503545 Emily Olivia Miranda Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-17
1619500642 Collin Docter Physical Therapist 3000 32nd Ave S, Fargo, ND 58103-6132 2020-02-18
1386276863 Corey David Bos Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-02-12
1619508587 Stephanie Lee Piirainen Student in an Organized Health Care Education/Training Program 3000 32nd Ave S, Fargo, ND 58103-6132 2020-01-30
1386274918 Melissa Ann Knopik Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-01-23
1205475126 Jerika A Decker Physician Assistant 3000 32nd Ave S, Fargo, ND 58103-6132 2019-12-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912416876 Lifescript Pharmacy Pllc Pharmacy 5670 38th Ave S Unit A, Fargo, ND 58104-9051 2017-09-23
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
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
1649211517 American Drug Stores Delaware LLC Pharmacy 1321 19th Ave N, Fargo, ND 58102-1821 2006-06-09
1821039793 American Drug Stores Delaware LLC Pharmacy 2425 13th Ave S, Fargo, ND 58103-3749 2006-06-09
1396184750 Md Pharmacy LLC Pharmacy 4101 13th Ave S, Suite S, Fargo, ND 58103-3342 2013-06-19
1124317490 Thrifty Drug Stores Inc Pharmacy 706 38th St N, Unit A, Fargo, ND 58102-2953 2011-04-07
1609955996 Thrifty Drug Stores Inc Pharmacy 706 38th St N, Fargo, ND 58102-2953 2006-11-06
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Competitor

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City FARGO
Zip Code 58103

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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