CHURCHILL PHARMACY INCORPORATED (NPI# 1619151206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619151206 |
| Entity Type | Organization |
| Organization Name | CHURCHILL PHARMACY INCORPORATED |
| Other Organization Name | GLEN ULLIN PHARMACY |
| Practice Address |
113 S Main St Glen Ullin ND 58631-7101 |
| Mailing Address |
Po Box 636 Glen Ullin ND 58631-0636 |
| Practice Telephone | 7013483303 |
| Practice Fax Number | 7013483913 |
| Mailing Telephone | 7013483303 |
| Mailing Fax Number | 7013483913 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | DANIEL CHURCHILL (OWNER, PRES, PIC) |
| Authorized Official Telephone | 7012240339 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
789 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2153034 | 01 |
| Other Name | Type Code |
|---|---|
| Glen Ullin Pharmacy | Doing Business As Name - Organization |
| Street Address |
113 S MAIN ST |
| City | GLEN ULLIN |
| State | ND |
| Zip Code | 58631-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881766525 | Glen Ullin Ambulance Service | Ambulance | 206 2nd St South, Glen Ullin, ND 58631 | 2006-11-15 |
| 1427132661 | Meagan Shillingstad | Occupational Therapist | 604 Ash Ave E, Glen Ullin, ND 58631 | 2006-10-24 |
| 1003929944 | Jacobson Memorial Hospital Care Center | Clinic/Center | 602 Ash Ave E, Glen Ullin, ND 58631 | 2006-08-16 |
| 1053399436 | Linda Duppong | Physician Assistant | 602 Ash Ave, Glen Ullin, ND 58631 | 2006-01-05 |
| 1992822464 | Tyrone Langager | Family Medicine | 602 Ash Ave E, Glen Ullin, ND 58631 | 2007-03-22 |
| 1023096419 | Glen Ullin Family Medical Center | Family Medicine | 602 Ash Ave, Glen Ullin, ND 58631 | 2006-01-05 |
| 1841363207 | Dale Clyde Sease | Pharmacist | 113 South Main St, Glen Ullin, ND 58631-0670 | 2006-11-15 |
| 1053338525 | Glen Ullin Rhc | Chiropractor | 117 S Main St, Glen Ullin, ND 58631-7101 | 2006-07-17 |
| 1316948631 | Marian Manor Community Corporation | Skilled Nursing Facility | 604 E Ash Ave, Glen Ullin, ND 58631-7138 | 2005-08-09 |
| 1699186098 | Sara Farrell | Physical Therapist | 604 E Ash Ave, Glen Ullin, ND 58631-7138 | 2014-05-19 |
| Find all providers in zip 58631 | ||||
| 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 | ||||
| City | GLEN ULLIN |
| Zip Code | 58631 |
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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.