WALLS LTC PHARMACY INC (NPI# 1982927406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982927406 |
| Entity Type | Organization |
| Organization Name | WALLS LTC PHARMACY INC |
| Practice Address |
1322 8th Ave S Grand Forks ND 58201 |
| Mailing Address |
1020 S Washington St Grand Forks ND 58201-4321 |
| Practice Telephone | 7017380804 |
| Practice Fax Number | 7017380406 |
| Mailing Telephone | 7017380804 |
| Mailing Fax Number | 7017380806 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2018-07-06 |
| Authorized Official Name | MR. DENNIS PAUL JOHNSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7017380804 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
961 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA STATE LISC | 263545 | 01 |
| MN | 198282746 | 05 | |
| ND | STATE PHARMACY LISCENCE | 961 | 01 |
| ND | 1456006 | 05 |
| Street Address |
1322 8TH AVE S |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1316346745 | White Drug Co of Jamestown Inc | Pharmacy | 1395 S Columbia Rd, Suite C, Grand Forks, ND 58201-4054 | 2014-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1932628633 | Central Avenue Pharmacy, Inc | Pharmacy | 323 Central Ave N Ste 101, Valley City, ND 58072-2915 | 2017-09-13 |
| 1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
| 1548627631 | Crosby Drug LLC | Pharmacy | 30 Main Street North, Crosby, ND 58730-0050 | 2016-01-21 |
| 1730453366 | Integrated Health Marketing LLC | Pharmacy | 5675 26th Ave S Ste 136b, Fargo, ND 58104-8975 | 2012-02-29 |
| 1548572076 | White Drug Co of Jamestown Inc | Pharmacy | 121 N Broadway St, Linton, ND 58552-7018 | 2010-07-13 |
| 1356570766 | Midwest Drug Distribution Inc | Pharmacy | 4153 12th Ave N, Fargo, ND 58102-2900 | 2009-07-07 |
| 1609908631 | Aasen Drug Inc | Pharmacy | 15 Main St E, Mayville, ND 58257-1435 | 2007-03-13 |
| 1164579249 | Pharmacists Associates LLC | Pharmacy | 203 Towner Ave, Larimore, ND 58251-4311 | 2007-01-04 |
| 1710056452 | Churchill Pharmacy Inc | Pharmacy | 509 Ash Ave, New Salem, ND 58563-4501 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on WALLS LTC PHARMACY INC.
| 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.