Individual provider Active NPI

Brandon Lowell Rolland

  • Pharmacist
  • West Fargo, ND
National Provider Identifier
1376606616
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH5070 Issued in ND
Practice address
1401 13TH Ave E Ste B
West Fargo, ND 58078-3468
Phone
(701) 364-5800
Fax
(701) 364-5802
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH5070 ND Primary

Addresses

Primary practice location

1401 13TH Ave E Ste B
West Fargo, ND 58078-3468

Mailing address

PO Box 443
511 1St Ave N
Leonard, ND 58052-0443
Phone (701) 645-9019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RPH5070NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Center Pharmacy LTD Current Accepting new patients

Locations

1401 13th Ave E
Ste B
West Fargo, ND 58078
Phone (701) 364-5800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1376606616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "address_2": "511 1ST AVE N",
            "city": "LEONARD",
            "state": "ND",
            "postal_code": "580520443",
            "telephone_number": "701-645-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 13TH AVE E STE B",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783468",
            "telephone_number": "701-364-5800",
            "fax_number": "701-364-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLAND",
        "first_name": "BRANDON",
        "middle_name": "LOWELL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.