Organization Active NPI

Carrington Drug Inc

Doing business as Carrington Drug

  • Community/Retail Pharmacy
  • Carrington, ND
National Provider Identifier
1275569790
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
162 Issued in ND
Legal business name
CARRINGTON DRUG INC
Doing business as
Carrington Drug
Practice address
415 Main St
Carrington, ND 58421-1671
Phone
(701) 652-2521
Fax
(701) 652-2326
NPI assigned
Jun 25, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Matthew Jay Paulson, R.PH.NPI 1205861556
Title
Owner
Phone
(701) 652-2521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 162 ND Primary
Long Term Care Pharmacy 3336L0003X 162 ND

Addresses

Primary practice location

415 Main St
Carrington, ND 58421-1671

Mailing address

415 Main St
Carrington, ND 58421-1671
Phone (701) 652-2521

Other identifiers 2

IdentifierTypeStateIssuer
21172MedicaidND
3500368OtherNCPOP #

Other names 1

  • Carrington Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051108000332 ND Part B Supplier - Mass Immunization (Roster Biller Only) 9537187562 Practice locations: Carrington, ND
O20100930076046 ND DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 9537187562 Practice locations: Carrington, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2156052Carrington Drug415 Main, Carrington, ND 58421Certificate of waiverOct 8, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Carrington Drug Inc415 Main St, Carrington, ND 58421-1671(701) 652-2521 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Ortho… Accepts assignmentParticipating since Jul 1, 1995

National Provider Directory

National Provider Directory

Locations

415 Main St
Carrington, ND 58421
Phone (701) 652-2521

956 Main St
Carrington, ND 58421
Phone (701) 652-2521

Practitioners & affiliated clinicians

Practitioners 3

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1275569790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584211671",
            "telephone_number": "701-652-2521",
            "fax_number": "701-652-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584211671",
            "telephone_number": "701-652-2521",
            "fax_number": "701-652-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRINGTON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-652-2521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "162",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ND",
            "license": "162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21172",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPOP #",
            "identifier": "3500368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrington Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carrington Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrington, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.