Active NPI
David Bruce Sandberg, RPH
- Pharmacist
- Williston, ND
National Provider Identifier
1235449042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3298
- Practice address
- 20 26TH St E
Williston, ND 58801-3046 - Phone
- (701) 572-9168
- NPI assigned
- Oct 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3298 | ND | Primary |
Addresses
Primary practice location
20 26TH St E
Williston, ND 58801-3046
Mailing address
917 16TH Ave SE
Minot, ND 58701-6778
Phone (701) 833-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3298 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1235449042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 16TH AVE SE",
"city": "MINOT",
"state": "ND",
"postal_code": "587016778",
"telephone_number": "701-833-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 26TH ST E",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588013046",
"telephone_number": "701-572-9168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "DAVID",
"middle_name": "BRUCE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "3298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.