NPIMap

Organization Active NPI

College of Pharmacy, Nursing, and Allied Sciences

Doing business as Concept Pharmacy

  • Pharmacy
  • Fargo, ND
National Provider Identifier
1184888919
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
166 Issued in ND
Legal business name
COLLEGE OF PHARMACY, NURSING, AND ALLIED SCIENCES
Doing business as
Concept Pharmacy
Practice address
1301 12TH Ave N
Fargo, ND 58102-3400
Phone
(701) 231-7609
Fax
(701) 231-7606
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH DAKOTA STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Charles Dean Peterson, PHARM.D.
Title
Dean
Phone
(701) 231-7609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 166 ND Primary

Addresses

Primary practice location

1301 12TH Ave N
Fargo, ND 58102-3400

Mailing address

1301 12TH Ave N
Fargo, ND 58105-5055
Phone (701) 231-6469

Other names 1

  • Concept Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
College of Pharmacy Nursing and Allied Sciences5 organizations share this tax ID, including this one
Part of
College of Pharmacy Nursing and Allied Sciences

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1184888919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 12TH AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581055055",
            "telephone_number": "701-231-6469",
            "fax_number": "701-231-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 12TH AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023400",
            "telephone_number": "701-231-7609",
            "fax_number": "701-231-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE OF PHARMACY, NURSING, AND ALLIED SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH DAKOTA STATE UNIVERSITY",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "701-231-7609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concept Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2008; 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.