Midwest Drug Distribution Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHAR946 Issued in ND

Legal business name

MIDWEST DRUG DISTRIBUTION INC

Doing business as

Unit Pak

Practice address

4153 12TH Ave N
Fargo, ND 58102-2900

Phone

(701) 373-8500

Fax

(701) 373-8506

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Peter Lee

Title

President

Phone

(701) 373-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Unit Pak Doing business as

Locations

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1356570766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "701-373-8500",
            "fax_number": "701-373-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 12TH AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022900",
            "telephone_number": "701-373-8500",
            "fax_number": "701-373-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DRUG DISTRIBUTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-373-8500"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ND",
            "license": "PHAR946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unit Pak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Mickish
• Andrea Jean Middlestead, NP-C
• Ashley Patricia Middleton Peterson, LCSW
• Midland Prohealth
• Midwest Drug Distribution Inc
• Midwest Eye Laboratories Sioux Falls, LLC
• Midwest Hypnosis Clinics/NWCC
• Midwest Medical Equipment & Supplies, Inc
• Midwest Mental Health Clinic PLLC
• Midwest Mental Health Clinic PLLC

• Long Term Care Pharmacy in Fargo, ND
• Providers in Fargo, ND by specialty
• Long Term Care Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.