NPIMap

Organization Active NPI

Chase Drug Store Inc

  • Pharmacy
  • Washburn, ND
National Provider Identifier
1265548101
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
160 Issued in ND
Legal business name
CHASE DRUG STORE INC
Practice address
703 Main Avenue
Washburn, ND 58577-0400
Phone
(701) 462-8174
Fax
(701) 462-3597
NPI assigned
Aug 22, 2006
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mr. Mike Chase
Title
Owner/Manager
Phone
(701) 462-8174

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 160 ND Primary

Addresses

Primary practice location

703 Main Avenue
Washburn, ND 58577-0400

Mailing address

703 Main Ave
PO Box 400
Washburn, ND 58577
Phone (701) 462-8174

Other identifiers 2

IdentifierTypeStateIssuer
70482OtherBCBS OF ND
20164MedicaidND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1265548101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN AVE",
            "address_2": "PO BOX 400",
            "city": "WASHBURN",
            "state": "ND",
            "postal_code": "58577",
            "telephone_number": "701-462-8174",
            "fax_number": "701-462-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN AVENUE",
            "city": "WASHBURN",
            "state": "ND",
            "postal_code": "585770400",
            "telephone_number": "701-462-8174",
            "fax_number": "701-462-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "701-462-8174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "70482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20164",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.