N D Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR323 Issued in ND

Legal business name

N D PHARMACY INC

Practice address

1283 Roughrider Blvd
Dickinson, ND 58601-6780

Phone

(701) 483-0724

Fax

(701) 483-1882

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Robert Treitline, RPH

Title

Owner

Phone

(701) 225-4434

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ND Pharmacy West Doing business as

Tax ID family

ND Pharmacyinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• N D Pharmacy Inc

  • Community/Retail Pharmacy
  • Dickinson, ND
  • NPI 1386680767
  NPD tax ID
• ND Pharmacy Inc

  • Community/Retail Pharmacy
  • Williston, ND
  • NPI 1558376152
  NPD tax ID

Locations

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1205231990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 18TH ST W",
            "address_2": "SUITE 2",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013022",
            "telephone_number": "701-483-0724",
            "fax_number": "701-483-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 ROUGHRIDER BLVD",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016780",
            "telephone_number": "701-483-0724",
            "fax_number": "701-483-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N D PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "TREITLINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-225-4434",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020084",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ND Pharmacy West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Awna Marie Mortenson, PHARMD
• Dwight R Mundy, R.PH
• Kevin P Murphy, MD
• Regina Marie Murray, LICSW
• McKenna J Myran, PT, DPT
• N D Pharmacy Inc
• Cheryl M Nasset, SOCIAL WORKER, LSW
• ND Health Solutions PLC
• Kerry Nekuda, PHARMD
• Dawn Gutierrez Nelson

• All providers in Dickinson, ND
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.