TRENTON COMMUNITY CLINIC PHARMACY (NPI# 1689895427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689895427 |
| Entity Type | Organization |
| Organization Name | TRENTON COMMUNITY CLINIC PHARMACY |
| Practice Address |
331 4th Ave E Hwy 1804 Trenton ND 58853-9998 |
| Mailing Address |
331 4th Ave E Po Box 210 Trenton ND 58853-9998 |
| Practice Telephone | 7017740461 |
| Practice Fax Number | 7017748033 |
| Mailing Telephone | 7017740461 |
| Mailing Fax Number | 7017748033 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAMELA SCHWEITZER (PHARMACY INFORMATICS CONSULTANT) |
| Authorized Official Telephone | 6023645277 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1312TR | 05 | |
| PHARMACY DEA | BT1904968 | 01 | |
| NCPDP NUMBER | 3503934 | 01 |
| Street Address |
331 4TH AVE E HWY 1804 |
| City | TRENTON |
| State | ND |
| Zip Code | 58853-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881626422 | Patricia Ann Blomquist | Physician Assistant | 331 4th Ave E, Trenton, ND 58853-9998 | 2006-07-06 |
| 1912387630 | Trenton Indian Service Area | Clinic/Center | 331 4th Ave E, Trenton, ND 58853-9998 | 2015-06-08 |
| 1609271725 | Trenton Indian Service Area | Clinic/Center | 331 4th Ave E, Trenton, ND 58853-0210 | 2014-10-31 |
| 1306286448 | Brandy Anne Shahin | Nurse Practitioner | 331 4th Ave E, Trenton, ND 58853-9998 | 2013-07-03 |
| 1053644492 | Lisa M Cohoe | Dentist | 331 4th Ave E, Trenton, ND 58853-9998 | 2009-09-17 |
| 1760653208 | Tina Rabenberg Falcon | Licensed Practical Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
| 1952572406 | Cynthia V Gardner | Licensed Practical Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
| 1396916847 | Gregory Allen Bender | Registered Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
| 1720259260 | Jennifer Lea Schroeder | Registered Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
| 1669684825 | Abredeen Area Tribal Chairmans Health Board | Private Vehicle | 331 4th Ave E, Building 3, Trenton, ND 58853-9998 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558400598 | Dorothy Kay Collette-gjorven | Pharmacist | Main St, Trenton, ND 58853 | 2007-02-06 |
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770613325 | Fort Yates Indian Hosp Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1010 N River Rd, Fort Yates, ND 58538 | 2007-03-06 |
| 1790811503 | Belcourt Ihs Hospital | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1st Main St Highway 5, Belcourt, ND 58316 | 2007-02-26 |
| 1124284914 | Three Affiliated Tribes White Shield Healthcare Telepharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Main Street B, Roseglen, ND 58775 | 2008-08-01 |
| 1811153505 | Three Affiliated Tribes Twin Buttes Healthcare Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 726 80th Ave Nw, Halliday, ND 58636-4001 | 2008-08-01 |
| 1801052592 | Three Affiliated Tribes Parshall Healthcare Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 107 3rd St Se, Parshall, ND 58770 | 2008-08-01 |
| 1063678779 | Three Affiliated Tribes Manadree Health Care Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 305 Main Street, Mandaree, ND 58757 | 2008-08-01 |
| 1467611970 | Elbowoods Memorial Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1058 College Dr, New Town, ND 58763-9112 | 2008-06-09 |
| 1568592137 | Spirit Lake Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2007-03-06 |
| 1851428288 | Fort Berthold Ihs Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-02-27 |
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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.