NPIMap

Organization Active NPI

Pharmacists Associates LLC

  • Community/Retail Pharmacy
  • Larimore, ND
National Provider Identifier
1164579249
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACISTS ASSOCIATES LLC
Practice address
203 Towner Ave
Larimore, ND 58251-4311
Phone
(701) 343-2461
Fax
(701) 343-2305
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Lyle Lutman
Title
Partner
Phone
(701) 256-3330

Specialties & licenses 2

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

Addresses

Primary practice location

203 Towner Ave
Larimore, ND 58251-4311

Mailing address

PO Box 438
Larimore, ND 58251-0438
Phone (701) 343-2461

Other identifiers 1

IdentifierTypeStateIssuer
20689MedicaidND

Other names 1

  • Larimore Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161128002054 ND Part B Supplier - Mass Immunization (Roster Biller Only) 9436460276 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northwood, ND; Larimore, ND; Lakota, ND; Bottineau, ND; Cooperstown, ND
O20210212000417 ND DME Supplier - Pharmacy 9436460276 Practice locations: Larimore, ND

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Larimore Drug203 Towner Ave, Larimore, ND 58251-0438(701) 343-2461 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 19, 2015

National Provider Directory

National Provider Directory
Tax ID family
Pharmacists Associates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

505 Main St
Bottineau, ND 58318
Phone (701) 228-2291

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1164579249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "LARIMORE",
            "state": "ND",
            "postal_code": "582510438",
            "telephone_number": "701-343-2461",
            "fax_number": "701-343-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TOWNER AVE",
            "city": "LARIMORE",
            "state": "ND",
            "postal_code": "582514311",
            "telephone_number": "701-343-2461",
            "fax_number": "701-343-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACISTS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "LUTMAN",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "701-256-3330"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20689",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larimore Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Larimore, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.