Three Affiliated Tribes Manadree Health Care Tele-Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

License

775 Issued in ND

Legal business name

THREE AFFILIATED TRIBES MANADREE HEALTH CARE TELE-PHARMACY

Doing business as

TAT Manadree Telepharmacy

Practice address

305 Main Street
Mandaree, ND 58757

Phone

(701) 759-3151

Fax

(701) 759-3181

NPI assigned

Aug 1, 2008

Last updated

Jan 9, 2015By 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

Donna Bieri

Title

Chief Telepharmacist

Phone

(701) 938-3459

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TAT Manadree Telepharmacy Doing business as

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1063678779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "MANDAREE",
            "state": "ND",
            "postal_code": "587570625",
            "telephone_number": "701-759-3151",
            "fax_number": "701-759-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN STREET",
            "city": "MANDAREE",
            "state": "ND",
            "postal_code": "58757",
            "telephone_number": "701-759-3151",
            "fax_number": "701-759-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE AFFILIATED TRIBES MANADREE HEALTH CARE TELE-PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "BIERI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CHIEF TELEPHARMACIST",
        "authorized_official_telephone_number": "701-938-3459"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "ND",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117699",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2404",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAT Manadree Telepharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline P Chase
• Kajanjan Constance Grady
• Mandaree Community Clinic
• Precision Paramedic Services Inc
• Jade Monica-Marie Stacey, DEM TM
• Three Affiliated Tribes Mandaree Health Care Center (Mandaree Health Care Center)

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mandaree, ND
• Providers in Mandaree, ND by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.