WHITE DRUG CO OF JAMESTOWN INC (NPI# 1730369711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730369711 |
| Entity Type | Organization |
| Organization Name | WHITE DRUG CO OF JAMESTOWN INC |
| Other Organization Name | THRIFTY WHITE PHARMACY #068 |
| Practice Address |
4255 30th Ave S Fargo ND 58104-8427 |
| Mailing Address |
6055 Nathan Ln N Suite 200 Plymouth MN 55442-1674 |
| Practice Telephone | 7014788953 |
| Practice Fax Number | 7014788954 |
| Mailing Telephone | 7635134300 |
| Mailing Fax Number | 7635134380 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | TIMOTHY WEIPPERT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7635853507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PHAR702 | ND | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
264128 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1456217 DME | 05 | |
| PK | 2071622 | 01 | |
| ND | 1455675 RX | 05 | |
| MN | 1730369711 | 05 |
| Other Name | Type Code |
|---|---|
| THRIFTY WHITE PHARMACY #068 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1760808299 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 506 W Villard St, Dickinson, ND 58601-5017 | 2014-03-07 |
| 1477997005 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 387 11th St S Ofc 2, Wahpeton, ND 58075-4677 | 2013-04-25 |
| 1548572076 | White Drug Co of Jamestown Inc | Pharmacy | 121 N Broadway St, Linton, ND 58552-7018 | 2010-07-13 |
| 1730242728 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 102 Division Ave S, Cavalier, ND 58220-4005 | 2006-12-19 |
| 1477643310 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 115 Main St W, Mohall, ND 58761-4313 | 2006-10-13 |
| 1588754428 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 310 1st Ave S, Jamestown, ND 58401-4154 | 2006-10-13 |
| 1003906942 | White Drug Co of Jamestown Inc | Pharmacy | 706 38th St N, Unit A, Fargo, ND 58102-2953 | 2006-10-13 |
| 1386734226 | White Drug Co of Jamestown Inc | Pharmacy | 425 College Dr S, Suite 10, Devils Lake, ND 58301-3537 | 2006-10-13 |
| 1205926144 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 108 Central Ave N, Maddock, ND 58348-7204 | 2006-10-13 |
| Street Address |
4255 30TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-8427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258382 | Evan Condry | Physical Therapist | 4255 30th Ave S, Fargo, ND 58104-9034 | 2017-07-20 |
| 1821455593 | Brianna Berry | Occupational Therapy Assistant | 4255 30th Ave S, Fargo, ND 58104-8427 | 2016-01-26 |
| 1770949190 | Amanda Ness | Occupational Therapy Assistant | 4255 30th Ave S, Fargo, ND 58104-8427 | 2016-01-14 |
| 1700242443 | Candice Swindle | Physical Therapy Assistant | 4255 30th Ave S, Fargo, ND 58104-8427 | 2016-01-11 |
| 1689096463 | Ashley Johnk | Physical Therapist | 4255 30th Ave S, Fargo, ND 58104-8427 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in FARGO | ||||
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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.