Active NPI
Ollerman Inc
Doing business as The Medicine Shoppe Pharmacy
- Community/Retail Pharmacy
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHAR327
- Legal business name
- OLLERMAN INC
- Doing business as
- The Medicine Shoppe Pharmacy
- Practice address
- 1571 W Villard St Ste 1
Dickinson, ND 58601-4656 - Phone
- (701) 227-8265
- Fax
- (701) 227-8289
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandi Ollerman
- Title
- Owner
- Phone
- (701) 227-8265
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHAR327 | ND | Primary |
Addresses
Primary practice location
1571 W Villard St Ste 1
Dickinson, ND 58601-4656
Mailing address
1571 W Villard St Ste 1
Dickinson, ND 58601-4656
Phone (701) 227-8265
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1455403 | Medicaid | ND | |
| 2131219 | Other | PK |
Other names 1
- The Medicine Shoppe Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110914000032 | ND | Part B Supplier - Pharmacy | 0941471460 | Practice locations: Dickinson, ND |
| O20111019000406 | ND | DME Supplier - Pharmacy | 0941471460 | Practice locations: Dickinson, ND |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2135199 | Medicine Shoppe Pharmacy | Certificate of waiver | Aug 15, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medicine Shoppe | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Re… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1571 W Villard St
Ste 1
Dickinson, ND 58601
Phone (701) 227-8265
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dickinson, ND
- NPI 1932134426
-
- Pharmacist
- Dickinson, ND
- NPI 1437132370
-
- Pharmacist
- Dickinson, ND
- NPI 1669954665
-
- Pharmacist
- Dickinson, ND
- NPI 1477982932
-
- Pharmacist
- Minot, ND
- NPI 1457612962
-
- Pharmacist
- Dickinson, ND
- NPI 1194161919
-
- Pharmacist
- Dickinson, ND
- NPI 1518940527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1043504574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 W VILLARD ST STE 1",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014656",
"telephone_number": "701-227-8265",
"fax_number": "701-227-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 W VILLARD ST STE 1",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014656",
"telephone_number": "701-227-8265",
"fax_number": "701-227-8289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLLERMAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-01",
"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": "OWNER",
"authorized_official_telephone_number": "701-227-8265"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ND",
"license": "PHAR327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1455403",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131219",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Medicine Shoppe Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dickinson, ND
Sources for this page
- 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.
- 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.