Apothecary Roughriders Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

APOTHECARY ROUGHRIDERS INC

Doing business as

Medicine Shoppe

Practice address

1118 S Broadway
Minot, ND 58701-5927

Phone

(701) 852-1524

NPI assigned

Nov 15, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Delvo, RPH

Title

Owner Pharmacist

Phone

(701) 852-1524

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1356413140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015927",
            "telephone_number": "701-852-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015927",
            "telephone_number": "701-852-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY ROUGHRIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DELVO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "701-852-1524",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "0158",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20821",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3502867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiley R Andreas, CNS
• Melissa Lynne Andreasen, NP-C
• Amanda Anfinson
• Angels Hands Healthcare (N/a)
• Andrea Anhorn
• April Wilson-Warren NP-C PLLC
• Reed Jonathan Argent, P.T.
• Allyson Leigh Arlt, CNA, MED AID
• Cory Armbright
• Valerie Nicole Armenta

• Community/Retail Pharmacy in Minot, ND
• Providers in Minot, 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 Mar 7, 2023; 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.