NPIMap

Organization Active NPI

Pharmacists Associates LLC

Doing business as Northwood Drug

  • Community/Retail Pharmacy
  • Northwood, ND
National Provider Identifier
1063690774
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACISTS ASSOCIATES LLC
Doing business as
Northwood Drug
Practice address
10 N Main Street
Northwood, ND 58267-0399
Phone
(701) 587-5271
Fax
(701) 587-6091
NPI assigned
Feb 5, 2008
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Mr. Lyle Lynn LutmanNPI 1790898609
Title
Partner
Phone
(701) 256-3330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

10 N Main Street
Northwood, ND 58267-0399

Mailing address

PO Box 399
Northwood, ND 58267-0399
Phone (701) 587-5271

Other identifiers 1

IdentifierTypeStateIssuer
20136MedicaidND

Other names 1

  • Northwood Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161128002054 ND Part B Supplier - Mass Immunization (Roster Biller Only) 9436460276 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northwood, ND; Larimore, ND; Lakota, ND; Bottineau, ND; Cooperstown, ND
O20200910001047 ND DME Supplier - Pharmacy 9436460276 Practice locations: Northwood, ND

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Northwood Drug10 N Main St, Northwood, ND 58267-0399(701) 587-5271 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 19, 2015

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1063690774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670399",
            "telephone_number": "701-587-5271",
            "fax_number": "701-587-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MAIN STREET",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670399",
            "telephone_number": "701-587-5271",
            "fax_number": "701-587-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACISTS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "LUTMAN",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "701-256-3330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20136",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwood Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northwood, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.