S.a. Warren,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

S.A. WARREN,LLC

Practice address

1118 S Broadway
Minot, ND 58701-5955

Phone

(701) 441-7345

Fax

(866) 291-1415

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Jodee Richeson, PHARMDNPI 1801439633

Title

Owner/Pharmacist-in-Charge

Phone

(701) 720-3182

Specialties & licenses 1

Addresses

Other names 1

• Broadway Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

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

• Jodee Richeson, PHARMD

  • Pharmacist
  • Minot, ND
  • NPI 1801439633
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1235813502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015955",
            "telephone_number": "701-441-7345",
            "fax_number": "866-291-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015955",
            "telephone_number": "701-441-7345",
            "fax_number": "866-291-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A. WARREN,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "RICHESON",
        "authorized_official_first_name": "JODEE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "701-720-3182",
        "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": "Broadway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Russo, MSW
• Alexia N Rutten, LRD
• Keith A Ryan, MD
• Levi Ryan
• Melissa Rye
• S&S Caregivers LLC
• Alexis Mary Sable
• Nasser Saffarian
• Areen T Said, MD
• Ammar Navid Saigal, M.D., M.P.H.

• Community/Retail Pharmacy in Minot, ND
• Providers in Minot, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.