St. Alexius Mandan Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

793 Issued in ND

Legal business name

ST. ALEXIUS MANDAN PHARMACY, LLC

Doing business as

St. Alexius Mandan Pharmacy

Practice address

2500 Sunset Drive NW, Suite 2
Mandan, ND 58554

Phone

(701) 530-3750

Fax

(701) 530-3788

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Kristen SperleNPI 1053731331

Title

Pharmacist in Charge

Phone

(701) 214-1868

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• St. Alexius Mandan Pharmacy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Alexius Medical Center

  dba Great Plains Rehabilitation Services

  • Durable Medical Equipment & Medical Supplies
  • Bismarck, ND
  • NPI 1659435105

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Sperle

  • Pharmacist
  • Mandan, ND
  • NPI 1053731331
  NPD (past) Authorized official

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1093134017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SUNSET DRIVE NW, SUITE 2",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "58554",
            "telephone_number": "701-530-3750",
            "fax_number": "701-530-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SUNSET DRIVE NW, SUITE 2",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "58554",
            "telephone_number": "701-530-3750",
            "fax_number": "701-530-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALEXIUS MANDAN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "SPERLE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "701-214-1868"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "793",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Alexius Mandan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sos Urgent Cares LLC
• Carol Southam
• Kylee Spencer
• Kristen Sperle
• Julia Srnsky, CNA
• Brandy Renae Stang
• Lacey Steichen
• Nichole Stoeckel, PSY.S
• Sherri Kathleen Stokes
• Brenna Stone, PT, DPT

• Community/Retail Pharmacy in Mandan, ND
• Providers in Mandan, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.