Active NPI
Gayle Delora Ziegler, RPH
- Pharmacist
- Fargo, ND
National Provider Identifier
1154440717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4127
- Practice address
- 1720 University Dr S
Sanford Pharmacy South University
Fargo, ND 58103-4940 - Phone
- (701) 280-4467
- Fax
- (701) 280-4643
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4127 | ND | Primary |
| Pharmacist | 183500000X | 114252-7 | MN |
Addresses
Primary practice location
1720 University Dr S
Sanford Pharmacy South University
Fargo, ND 58103-4940
Mailing address
1720 University Dr S
Sanford Phamacy South University
Fargo, ND 58103-4940
Phone (701) 280-4467
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114252-7 | MN | MD | Pharmacist |
| 4127 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1154440717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 UNIVERSITY DR S",
"address_2": "SANFORD PHAMACY SOUTH UNIVERSITY",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-280-4467",
"fax_number": "701-280-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 UNIVERSITY DR S",
"address_2": "SANFORD PHARMACY SOUTH UNIVERSITY",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-280-4467",
"fax_number": "701-280-4643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGLER",
"first_name": "GAYLE",
"middle_name": "DELORA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4127",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114252-7",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.