Theige Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THEIGE DRUG INC

Doing business as

Medicap Pharmacy

Practice address

1395 S Columbia Rd
Suite C
Grand Forks, ND 58201-4054

Phone

(701) 746-1800

Fax

(701) 746-4040

NPI assigned

Feb 27, 2007

Last updated

Mar 7, 2023By 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

Jeff Theige, RPH

Title

Owner

Phone

(701) 746-1800

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MEDICAP PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093841496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S COLUMBIA RD",
            "address_2": "SUITE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014054",
            "telephone_number": "701-746-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S COLUMBIA RD",
            "address_2": "SUITE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014054",
            "telephone_number": "701-746-1800",
            "fax_number": "701-746-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEIGE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "THEIGE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-746-1800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "332",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21191",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3503720",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513214200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon James Tetrault, ATC
• Kathryn M. Tevington, M.D.
• Susan Rae Tharalson, RN
• The Aurora Cardiology Clinic
• The Housing Authority of the City of Grand Forks, North Dakota (Grand Forks Housing Authority)
• Jeffrey Lynn Theige, R.PH.
• Jana Lee Theisen, LCAC, LCSW
• Therapy by Joann, PLLC
• Therapy Works Midwest PLLC
• Heather Ann Thibert, OTRL

• Community/Retail Pharmacy in Grand Forks, ND
• Providers in Grand Forks, 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 Mar 7, 2023; 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.