NPIMap

Organization Active NPI

University of North Dakota

Doing business as Center for Family Medicine Pharmacy

  • Clinic Pharmacy
  • Minot, ND
National Provider Identifier
1205036027
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
UNIVERSITY OF NORTH DAKOTA
Doing business as
Center for Family Medicine Pharmacy
Practice address
1201 11TH Ave SW
Minot, ND 58701-4207
Phone
(701) 858-6700
Fax
(701) 858-6749
NPI assigned
Jul 19, 2007
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF NORTH DAKOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Katherine F Klein, PHARMDNPI 1962013078
Title
Pharmacy Director
Phone
(701) 858-6755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

1201 11TH Ave SW
Minot, ND 58701-4207

Mailing address

1201 11TH Ave SW
Minot, ND 58701-4207
Phone (701) 858-6700

Other identifiers 1

IdentifierTypeStateIssuer
1459416MedicaidND

Other names 1

  • CENTER FOR FAMILY MEDICINE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bismark Family Practice14 organizations share this tax ID, including this one
Part of
Bismark Family Practice

Other organizations with this tax ID 13

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

View all 13

Locations

1201 11th Ave SW
Minot, ND 58701
Phone (701) 858-6700

Practitioners & affiliated clinicians

Practitioners 1

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1205036027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014207",
            "telephone_number": "701-858-6700",
            "fax_number": "701-858-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014207",
            "telephone_number": "701-858-6700",
            "fax_number": "701-858-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH DAKOTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NORTH DAKOTA",
        "enumeration_date": "2007-07-19",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "701-858-6755",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459416",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR FAMILY MEDICINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTER FOR FAMILY MEDICINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.