Active NPI
Carmen A O'Halloran, PHARM.D.
- Pharmacist
- Grand Forks, ND
National Provider Identifier
1073806113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5243
- Practice address
- 360 Division Ave Ste 100
Grand Forks, ND 58201-4702 - Phone
- (701) 757-4407
- Fax
- (701) 757-4408
- NPI assigned
- May 23, 2011
- Last updated
- May 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 120758 | MN | |
| Pharmacist | 183500000X | RPH5243 | ND | Primary |
Addresses
Primary practice location
360 Division Ave Ste 100
Grand Forks, ND 58201-4702
Mailing address
360 Division Ave Ste 100
Grand Forks, ND 58201-4702
Phone (701) 757-4407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120758 | MN | MD | Pharmacist |
| RPH5243 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Pharmacy Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Community/Retail Pharmacy
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- Winchester, CA
- NPI 1437874062
-
dba Rite Aid Pharmacy 05313
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1730100652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1073806113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 DIVISION AVE STE 100",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014702",
"telephone_number": "701-757-4407",
"fax_number": "701-757-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 DIVISION AVE STE 100",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014702",
"telephone_number": "701-757-4407",
"fax_number": "701-757-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HALLORAN",
"first_name": "CARMEN",
"middle_name": "A",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120758",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.