AMERICAN DRUG STORES DELAWARE LLC (NPI# 1821039793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821039793 |
| Entity Type | Organization |
| Organization Name | AMERICAN DRUG STORES DELAWARE LLC |
| Other Organization Name | CVS PHARMACY #08612 |
| Practice Address |
2425 13th Ave S Fargo ND 58103-3749 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7012324872 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-03-19 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3504316 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08612 | 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 |
| 1619919800 | American Drug Stores Delaware LLC | Durable Medical Equipment & Medical Supplies | 1950 32nd Ave S, Ste A, Grand Forks, ND 58201-6656 | 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 |
| 1730120601 | American Drug Stores Delaware LLC | Durable Medical Equipment & Medical Supplies | 1225 E Calgary Avenue, Bismarck, ND 58503 | 2006-06-09 |
| Street Address |
2425 13TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772670 | Jeremiah Hoff | Pharmacist | 2425 13th Ave S, Fargo, ND 58103-3749 | 2020-05-21 |
| 1063035202 | Stephanie Marie Hoff | Pharmacist | 2425 13th Ave S, Fargo, ND 58103-3749 | 2020-05-21 |
| 1578094439 | Stacy Lynn Hersrud | Pharmacist | 2425 13th Ave S, Fargo, ND 58103-3749 | 2017-03-22 |
| 1639617020 | Kayla Beecher | Pharmacist | 2425 13th Ave S, Fargo, ND 58103-3749 | 2017-02-06 |
| 1780122135 | Malory Bjella | Pharmacist | 2425 13th Ave S, Fargo, ND 58103-3749 | 2017-02-06 |
| 1033657572 | Adam Bennett | Pharmacist | 2425 13th Ave S, Fargo, ND 58103-3749 | 2017-02-04 |
| 1669828117 | Kasey Mccann | Pharmacist | 2425 13th Ave S, Fargo, ND 58103-3749 | 2016-05-13 |
| 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 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1336472505 | Midwest Drug Distribution Inc | Pharmacy | 4153 12 Th Ave. North Suite B, Fargo, ND 58102 | 2009-09-04 |
| 1518098219 | Pharmacare Inc | Pharmacy | 2345 25th St S, Suite C, Fargo, ND 58103-6173 | 2007-03-07 |
| 1588724728 | Metro Drug Co | Pharmacy | 123 Broadway N, Fargo, ND 58102-4925 | 2006-12-11 |
| 1558458844 | Sanford Medical Center Fargo | Pharmacy | 1720 S University Drive, Fargo, ND 58103-4940 | 2006-10-06 |
| 1881785053 | Thrifty Drug Limited | Pharmacy | 1532 32nd Ave S, Fargo, ND 58103-5987 | 2006-09-27 |
| 1952407892 | Thrifty Drug Limited | Pharmacy | 1521 University Dr S, Fargo, ND 58103-4169 | 2006-09-16 |
| 1447362454 | W W Inc | Pharmacy | 2800 Broadway N, Fargo, ND 58102-1420 | 2006-08-31 |
| 1538271549 | Ww Inc | Pharmacy | 1605 University Dr S, Fargo, ND 58103-4154 | 2006-08-31 |
| 1912954165 | Medical Pharmacy South Inc | Pharmacy | 4151 45th St S, Fargo, ND 58104-4312 | 2006-05-30 |
| 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.