Clinic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR86 Issued in ND

Legal business name

CLINIC PHARMACY INC

Doing business as

clinic pharmacy

Practice address

2615 Fairway St
Dickinson, ND 58601-2590

Phone

(701) 483-4401

Fax

(701) 483-4404

NPI assigned

Aug 31, 2006

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandi OllermanNPI 1932134426

Title

Pharmacist/Owner

Phone

(701) 227-8265

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• clinic pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Tax ID family

Clinic Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinic Pharmacy Inc

  dba Clinic Pharmacy LTC

  • Long Term Care Pharmacy
  • Dickinson, ND
  • NPI 1770345225
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandi Lee Ollerman, PHARM.D

  • Pharmacist
  • Dickinson, ND
  • NPI 1932134426
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1013029024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 FAIRWAY ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012590",
            "telephone_number": "701-483-4401",
            "fax_number": "701-483-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 FAIRWAY ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012590",
            "telephone_number": "701-483-4401",
            "fax_number": "701-483-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "OLLERMAN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "701-227-8265"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR86",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clinic pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara J. Christianson, MSW, LCSW
• City of Dickinson
• Teri Marie Clark
• Travis Elias Clatterbuck
• Clear Mind Solution Focused Therapy, PLLC
• Clinic Pharmacy Inc (Clinic Pharmacy LTC)
• Ann Coates
• Erica Cohen
• Community Action Partnership
• Alisha A Concepcion

• Community/Retail Pharmacy in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.