Erin D Berg-Gibbens – Pharmacotherapy Pharmacist

Key facts

NPI: 1124386628
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacotherapy Pharmacist 1835P1200X
License: RPH5406 (ND)
Practice address: 2101 Elm St N
BB-90
Fargo, ND 58102-2417
Phone: (701) 232-3241
NPI assigned: May 3, 2012
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5406	ND	MD	Pharmacist
RPH5406	ND	MD	Pharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacotherapy Pharmacist	1835P1200X	RPH5406	ND	Yes
Pharmacist	183500000X	5406	ND

Addresses

Primary practice location

2101 Elm St N
BB-90
Fargo, ND 58102-2417

Mailing address

2101 Elm St N
BB-90
Fargo, ND 58102-2417

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 4, 2026.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1124386628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "address_2": "BB-90",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "address_2": "BB-90",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-232-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG-GIBBENS",
        "first_name": "ERIN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ND",
            "license": "RPH5406",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

All providers in Fargo, ND · Pharmacotherapy Pharmacist in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.