Individual provider Active NPI

Emily Marin Madsen, PHARMD

  • Pharmacist
  • Williston, ND
National Provider Identifier
1053920272
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH6278 Issued in ND
Practice address
1500 14TH St W Ste 150
Williston, ND 58801-4080
Phone
(701) 572-7979
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA-PHA-LIC-71031 MT
Pharmacist 183500000X RPH6278 ND Primary

Addresses

Primary practice location

1500 14TH St W Ste 150
Williston, ND 58801-4080

Mailing address

1500 14TH St W Ste 150
Williston, ND 58801-4080
Phone (701) 572-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHA-PHA-LIC-71031MTMDPharmacist
RPH6278NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
G & G RX Inc CurrentSince Oct 6, 2024 Accepting new patients
White Drug Enterprises Inc PastSince Aug 1, 2020 Accepting new patients
G & G RX Inc PastSince Oct 6, 2024 Accepting new patients
White Drug Enterprises Inc PastSince Aug 1, 2020 Accepting new patients

Locations

1500 14th St W
Ste 150
Williston, ND 58801
Phone (701) 572-7979

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1053920272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 150",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014080",
            "telephone_number": "701-572-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 150",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014080",
            "telephone_number": "701-572-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "EMILY",
        "middle_name": "MARIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-71031",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

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

Verify at the official NPI Registry.