MS4 PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR447 Issued in ND

Legal business name

MS4 PLLC

Practice address

4476 31St Avenue South, Suite #105
Fargo, ND 58104

Phone

(701) 293-3060

Fax

(701) 293-3061

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Ross Wilhelm, PHARM D

Title

Pharmacist/Owner

Phone

(701) 639-6969

Specialties & licenses 2

Addresses

Other names 1

• The Medicine Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• MS4 PLLC

  • Community/Retail Pharmacy
  • Benson, MN
  • NPI 1700507522

  1658792650

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

MS4 PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• MS4 PLLC

  • Long Term Care Pharmacy
  • Fargo, ND
  • NPI 1063140010
  NPD tax ID
• MS4 PLLC

  • Community/Retail Pharmacy
  • Horace, ND
  • NPI 1477212116
  NPD tax ID
• MS4 PLLC

  • Community/Retail Pharmacy
  • Benson, MN
  • NPI 1700507522
  NPD tax ID

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1346728557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 31ST AVE S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044532",
            "telephone_number": "701-639-6969",
            "fax_number": "701-639-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 31ST AVENUE SOUTH, SUITE #105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-293-3060",
            "fax_number": "701-293-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS4 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "701-639-6969",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "PHAR447",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Felix Mozinski I, NP
• Morgan Alexandra Mozinski, NP
• Gilbert S Mrema
• MRG Inc
• MS4 PLLC
• Erica Muchow, RN
• Kyle Joseph Muckenhirn, MD
• Beth Luise Muehlberg, MSW
• Hannah Muehlberg, OTR/L
• Debra Ann Muehler

• Community/Retail Pharmacy in Fargo, ND
• Providers in Fargo, 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 Dec 9, 2021; 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.