Professional Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

624 Issued in ND

Legal business name

PROFESSIONAL PHARMACY LLC

Practice address

3124 Colorado Lane
#400
Bismarck, ND 58503

Phone

(701) 223-6854

Fax

(701) 223-6856

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Moore Churchill, PHARMDNPI 1740300110

Title

President

Phone

(701) 224-0339

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Professional Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Moore Churchill, PHARM.D.

  • Pharmacist
  • Bismarck, ND
  • NPI 1740300110
  NPD (past) Authorized official
• Steve Duane Boehning, R.PH.

  • Pharmacist
  • Fargo, ND
  • NPI 1841373925
  NPD
• Shelby Dodd

  • Pharmacist
  • Bismarck, ND
  • NPI 1679958979
  NPD
• Ashley Norton, PHARMD

  • Pharmacist
  • Bismarck, ND
  • NPI 1023410917
  NPD
• Michael Miller, PHARMD.

  • Pharmacist
  • Bismarck, ND
  • NPI 1902136138
  NPD (past)
• Katherine M Rogstad, PHARMD

  • Pharmacist
  • Bismarck, ND
  • NPI 1649994112
  NPD (past)
• Britta Skjefte

  • Pharmacist
  • Bismarck, ND
  • NPI 1407507841
  NPD (past)
• Katie A Tescher, PHARMD

  • Pharmacist
  • Bismarck, ND
  • NPI 1467176941
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1043243272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 COLORADO LN STE 400",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035446",
            "telephone_number": "701-223-6854",
            "fax_number": "877-790-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 COLORADO LANE",
            "address_2": "#400",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-223-6854",
            "fax_number": "701-223-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-224-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "624",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "624",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ND",
            "license": "624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470429",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Long Term Care Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.