BERRY JAMES POITRA (NPI# 1841644291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841644291 |
| Entity Type | Individual |
| Full Name | BERRY JAMES POITRA |
| Credential | PHARMD |
| Practice Address |
Moonlight Drive Highway 5 Belcourt ND 58316 |
| Mailing Address |
Po Box 507 Belcourt ND 58316-0507 |
| Practice Telephone | 7014776111 |
| Practice Fax Number | 7014772524 |
| Mailing Telephone | 7014776111 |
| Mailing Fax Number | 7014772524 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120600 | MN | Pharmacy Service Providers |
| Street Address |
MOONLIGHT DRIVE HIGHWAY 5 |
| City | BELCOURT |
| State | ND |
| Zip Code | 58316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012656 | Ryan Wickerham | Technician | 9862 46th Ave Ne 1191 Kent Addition, 1191, Belcourt, ND 58316 | 2020-10-31 |
| 1396345146 | Melinda Marie Desjarlais | Technician | 9826 46th Ave Ne, Belcourt, ND 58316 | 2020-10-30 |
| 1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
| 1114380748 | Bernice Delorme | Social Worker | Bldg 152, John Norquay Street, Belcourt, ND 58316 | 2016-03-31 |
| 1326425943 | Turtle Mountain Band of Chippewa | Private Vehicle | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316 | 2015-05-04 |
| 1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
| 1982006672 | Eugene Monette | Physical Therapist | 4278 Bia Road 8, Belcourt, ND 58316 | 2014-09-24 |
| 1477964757 | Turtle Mountain Band of Chippewa Indians | Case Management | 4051 Hwy 281, Belcourt, ND 58316 | 2014-05-08 |
| Find all providers in zip 58316 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023439346 | Mary Dodd | Pharmacist | 1300 Hospital Loop 1 Main Street, Belcourt, ND 58316 | 2014-01-06 |
| 1225243918 | Doreen Beth Jensen | Pharmacist | Highway 5, Belcourt, ND 58316 | 2007-05-14 |
| 1366074379 | Rachel Marie Modrow | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2020-02-07 |
| 1689229346 | Abby Wilder | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-08-08 |
| 1871074492 | Andrew Kenneth Glatz | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-08-22 |
| 1891293965 | My-oanh Thi Nguyen | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-01-24 |
| 1548778798 | Lauren M Hatfield | Pharmacist | Po Box 160, Belcourt, ND 58316-0160 | 2018-01-22 |
| 1245754548 | Quentin N Burdick Comprehensive Health Care Facility | Pharmacist | 1 Hospital Road, Belcourt, ND 58316-0160 | 2017-07-28 |
| 1427405513 | Jonathan Owen | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2016-05-18 |
| 1114399185 | Douglas David Edwards | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-10-29 |
| Find all providers in BELCOURT | ||||
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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.