Velva Drug Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

523 Issued in ND

Legal business name

VELVA DRUG COMPANY

Practice address

16 N. Main St
Velva, ND 58790

Phone

(701) 441-7511

Fax

(877) 840-9428

NPI assigned

Sep 6, 2006

Last updated

Jun 26, 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

Mr. Tracy KruegerNPI 1821636093

Title

Pharmacist

Phone

(701) 441-7511

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Krueger, PHARM D

  • Pharmacist
  • Velva, ND
  • NPI 1821636093
  NPD Authorized official
• Megan Krueger

  • Pharmacist
  • Brainerd, MN
  • NPI 1043318470
  NPD
• Rebekah King

  • Pharmacist
  • Minot, ND
  • NPI 1508417346
  NPD (past)
• Bonnie Jean Thom

  • Pharmacist
  • Velva, ND
  • NPI 1639277056
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1376646315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "VELVA",
            "state": "ND",
            "postal_code": "587900010",
            "telephone_number": "701-338-2911",
            "fax_number": "701-338-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N. MAIN ST",
            "city": "VELVA",
            "state": "ND",
            "postal_code": "58790",
            "telephone_number": "701-441-7511",
            "fax_number": "877-840-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELVA DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "701-441-7511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "523",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ND",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458012",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Souris Valley Care Center
• Souris Valley Care Center, Inc. (Souris Valley Care Center)
• Bonnie Jean Thom
• Kim A Thorson, FNP-C
• Velva Ambulance Service Inc.
• Velva Drug Company
• Kim Marie West

• Community/Retail Pharmacy in Velva, ND
• Providers in Velva, 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 Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.