Individual provider Active NPI

Denise M Bartholomay, RPH

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1255512844
Registry record updated Nov 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4481 Issued in ND
Practice address
720 4TH St N
Fargo, ND 58122-4520
Phone
(701) 234-3330
Fax
(701) 234-3334
NPI assigned
Nov 25, 2007
Last updated
Nov 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4481 ND Primary

Addresses

Primary practice location

720 4TH St N
Fargo, ND 58122-4520

Mailing address

720 4TH St N
Fargo, ND 58122-4520
Phone (701) 234-3330

Other identifiers 1

IdentifierTypeStateIssuer
4481OtherNDPHARMACIST STATE ID

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

LicenseStateTypeSpecialty
4481NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195948800000",
    "number": "1255512844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 4TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581224520",
            "telephone_number": "701-234-3330",
            "fax_number": "701-234-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 4TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581224520",
            "telephone_number": "701-234-3330",
            "fax_number": "701-234-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMAY",
        "first_name": "DENISE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-25",
        "last_updated": "2007-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST STATE ID",
            "identifier": "4481",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2007; 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.