Organization Active NPI

Chase Pharmacy

  • Community/Retail Pharmacy
  • Garrison, ND
National Provider Identifier
1114055324
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
155 Issued in ND
Legal business name
CHASE PHARMACY
Practice address
21 N Main St
Garrison, ND 58540-0189
Phone
(701) 463-2242
Fax
(701) 463-2311
NPI assigned
Mar 1, 2007
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Mr. Kim L Essler, R.PH.NPI 1346305836
Title
Manager
Phone
(701) 463-2242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 155 ND Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

21 N Main St
Garrison, ND 58540-0189

Mailing address

21 N Main St
Garrison, ND 58540-0189
Phone (701) 463-2242

Other identifiers 1

IdentifierTypeStateIssuer
020624MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930015342 ND DME Supplier - Pharmacy 7416077961 Practice locations: Garrison, ND

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
Chase Pharmacy Inc21 N Main St, Garrison, ND 58540-0189(701) 463-2242 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Ostomy Supplies|Nebu… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

21 N Main St
Garrison, ND 58540
Phone (701) 463-2242

Practitioners & affiliated clinicians

Practitioners 2

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1114055324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "585400189",
            "telephone_number": "701-463-2242",
            "fax_number": "701-463-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "585400189",
            "telephone_number": "701-463-2242",
            "fax_number": "701-463-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "ESSLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-463-2242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "155",
            "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": "020624",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.