Matthew Craig Degree, RPH
Individual provider Active NPI Pharmacist · Bowman, ND
NPI 1366845208 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1366845208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH5481 (ND)
- Practice address
- 12 N Main St
Bowman, ND 58623-4022 - Phone
- (701) 523-3233
- Fax
- (701) 523-5294
- NPI assigned
- Oct 7, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH5481 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Co of Jamestown Inc | Past | Accepting new patients | |
| Bowman Drug Company, PC | Past |
Accepting new patients | |
| White Drug Co of Jamestown Inc | Past | Accepting new patients | |
| Nudak Ventures North Dakota, LLC | Past |
Accepting new patients | |
| Central RX Group LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH5481 | ND | Yes |
Addresses
Primary practice location
12 N Main St
Bowman, ND 58623-4022
Mailing address
PO Box 1198
Bowman, ND 58623-1198
Phone (701) 527-8222
Other practice location 1
1102 Central Ave
Walhalla, ND 58282-4017
Phone (701) 549-2661
Other providers in Bowman, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.