Wahpeton Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54 Issued in ND

Legal business name

WAHPETON DRUG COMPANY INC

Practice address

508 Dakota Ave
Wahpeton, ND 58075-4415

Phone

(701) 642-9211

Fax

(701) 642-5946

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Ann Straus, RPH

Title

Owner

Phone

(701) 642-9211

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1336237346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754415",
            "telephone_number": "701-642-9211",
            "fax_number": "701-642-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754415",
            "telephone_number": "701-642-9211",
            "fax_number": "701-642-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHPETON DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "STRAUS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-642-9211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "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": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82134900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8530860",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214183",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21101",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252451-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "748260400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gia Marie Vancleave
• Benjamin Verkuilen, OD
• Jennifer Ellen Vermillion, BASC, LRD
• Karen M Viger, CDE
• Asia Villarreal
• Wahpeton Family Dentistry
• Wahpeton Family Eyecare Center, P.C.
• Wahpeton Public School District
• Mark Alan Wasemiller, D.D.S
• Paul S Wasemiller, MD

• Community/Retail Pharmacy in Wahpeton, ND
• Providers in Wahpeton, 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 Sep 10, 2008; 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.