Lincoln Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LINCOLN PHARMACY, INC.

Practice address

105 McDougall Dr Unit 1
Lincoln, ND 58504-1300

Phone

(701) 333-8054

NPI assigned

May 10, 2025

Organization subpart

No

Name

Kenneth Haugen, PHARMDNPI 1720682081

Title

President/Pharmacist

Phone

(701) 333-8054

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

• Kenneth Haugen, PHARMD

  • Pharmacist
  • Bismarck, ND
  • NPI 1720682081
  NPD Authorized official
• Jamie Danielle Nelson, PHARMD

  • Pharmacist
  • Lincoln, ND
  • NPI 1881180883
  NPD (past)

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

Medicare fee-for-service enrollment

Enrolled in ND

Locations

• The Medicine Shoppe Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2025.

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1215727474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MCDOUGALL DR UNIT 1",
            "city": "LINCOLN",
            "state": "ND",
            "postal_code": "585041300",
            "telephone_number": "701-333-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MCDOUGALL DR UNIT 1",
            "city": "LINCOLN",
            "state": "ND",
            "postal_code": "585041300",
            "telephone_number": "701-333-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-10",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "701-333-8054",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Danette Bauer
• Trudy L Hogue
• Mandy Johnson
• Darlene Kuhn
• Marolynn Faye Lesmeister
• Eric Michael Lis
• Nelly Ilunga Matanda
• Tammy Jo McCleary
• Mees Physical Therapy LLC
• Sarah Mehring

• All providers in Lincoln, 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 11, 2025; 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.