AMERICAN DRUG STORES DELAWARE LLC (NPI# 1619919800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619919800 |
| Entity Type | Organization |
| Organization Name | AMERICAN DRUG STORES DELAWARE LLC |
| Other Organization Name | CVS PHARMACY #08620 |
| Practice Address |
1950 32nd Ave S Ste A Grand Forks ND 58201-6656 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7017468643 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3504291 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08620 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528000718 | American Drug Stores Delaware LLC | Pharmacy | 525 S 3rd St, Bismarck, ND 58504-5524 | 2006-06-12 |
| 1700828993 | American Drug Stores Delaware LLC | Durable Medical Equipment & Medical Supplies | 1520 20th Ave Sw, Minot, ND 58701-6456 | 2006-06-12 |
| 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 |
| 1730120601 | American Drug Stores Delaware LLC | Durable Medical Equipment & Medical Supplies | 1225 E Calgary Avenue, Bismarck, ND 58503 | 2006-06-09 |
| Street Address |
1950 32ND AVE S STE A |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234561 | Steven Anthony Lewis | Pharmacist | 1950 32nd Ave S, Grand Forks, ND 58201-6658 | 2020-04-24 |
| 1336674324 | Kevin Pavlik | Pharmacist | 1950 32nd Ave S, Grand Forks, ND 58201-6656 | 2017-04-27 |
| 1598203937 | Carolyn Hey | Pharmacist | 1950 32nd Ave S, Grand Forks, ND 58201-6656 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
|---|---|---|---|---|
| 1790762318 | University of North Dakota | Pharmacy | 2891 2nd Ave N Stop 9038, Mccannel Hall Rm 100, Grand Forks, ND 58202-9038 | 2005-12-23 |
| 1801328133 | Embrace Pharmacy Inc | Pharmacy | 2424 32nd Ave S Ste 101b, Grand Forks, ND 58201-6509 | 2017-03-27 |
| 1003275348 | Inspire Pharmacy Inc | Pharmacy | 360 Division Ave, Suite 100, Grand Forks, ND 58201-4702 | 2016-02-15 |
| 1871829028 | Altru Clinic Pharmacy - Family Medicine Center Inc | Pharmacy | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2009-10-22 |
| 1093841496 | Theige Drug Inc | Pharmacy | 1395 S Columbia Rd, Suite C, Grand Forks, ND 58201-4054 | 2007-02-27 |
| 1235277179 | Altru Specialty Services | Pharmacy | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2007-02-02 |
| 1144368085 | Altru Health System | Pharmacy | 725 Hamline St, Grand Forks, ND 58203-2819 | 2007-02-02 |
| 1124166897 | Altru Health System | Pharmacy | 1200 South Columbia Road, Grand Forks, ND 58201-4036 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1508230814 | Horizon Pharmacy Inc | Pharmacy | 4535 Northern Sky Dr Ste 3, Bismarck, ND 58503-8539 | 2015-11-24 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1043504574 | Ollerman Inc | Pharmacy | 1571 W Villard St Ste 1, Dickinson, ND 58601-4656 | 2011-06-01 |
| 1669771523 | Dunseith Drug Inc | Pharmacy | 10 Main St Sw, Dunseith, ND 58329 | 2011-03-17 |
| 1336472505 | Midwest Drug Distribution Inc | Pharmacy | 4153 12 Th Ave. North Suite B, Fargo, ND 58102 | 2009-09-04 |
| 1982859617 | Neumann Drug Inc | Pharmacy | 412 Main Street - Box 459, Cando, ND 58324-0459 | 2008-11-21 |
| 1790941342 | Belcourt Drug Inc | Pharmacy | 1110 Hospital Rd #1 #80, Belcourt, ND 58316 | 2008-08-04 |
| 1427177617 | Drayton Drug Inc | Pharmacy | 106 North Main St, Drayton, ND 58225-0340 | 2007-03-28 |
| 1518098219 | Pharmacare Inc | Pharmacy | 2345 25th St S, Suite C, Fargo, ND 58103-6173 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.