Anderson Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

94 Issued in ND

Legal business name

ANDERSON DRUG INC

Practice address

509 Main St
Edgeley, ND 58433

Phone

(701) 493-2810

Fax

(701) 493-2641

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Richard Beringer, RPH

Title

Pres RPH

Phone

(701) 493-2810

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prescription Shop Doing business as

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245302900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "address_2": "509 MAIN ST",
            "city": "EDGELEY",
            "state": "ND",
            "postal_code": "58433",
            "telephone_number": "701-493-2810",
            "fax_number": "701-493-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MAIN ST",
            "city": "EDGELEY",
            "state": "ND",
            "postal_code": "58433",
            "telephone_number": "701-493-2810",
            "fax_number": "701-493-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRES RPH",
        "authorized_official_telephone_number": "701-493-2810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20442",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "3500623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherri Ann Armitage, DC, CCSP
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• Linda C Levee, NP
• Manor St Joseph

• All providers in Edgeley, ND
• Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.