NPIMap

Organization Active NPI

Linson Pharmacy, LTD

Doing business as Linson Pharmacy

  • Community/Retail Pharmacy
  • Fargo, ND
National Provider Identifier
1386664829
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
261023 Issued in MN
Legal business name
LINSON PHARMACY, LTD
Doing business as
Linson Pharmacy
Practice address
3175 25TH St S
Fargo, ND 58103-6171
Phone
(701) 293-6022
Fax
(701) 293-6040
NPI assigned
Jul 20, 2006
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Steve Boehning, RPHNPI 1841373925
Title
Pharmacy Director
Phone
(701) 293-6022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHAR6 ND
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 261023 MN Primary
Long Term Care Pharmacy 3336L0003X NU
Mail Order Pharmacy 3336M0002X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3175 25TH St S
Fargo, ND 58103-6171

Mailing address

3175 25TH St S
Fargo, ND 58103-6171
Phone (701) 293-6022

Other identifiers 3

IdentifierTypeStateIssuer
2071414OtherPK
21131MedicaidND
721062100MedicaidMN

Other names 1

  • LINSON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080123000245 ND Part B Supplier - Mass Immunization (Roster Biller Only) 7214027820 Practice locations: Fargo, ND
O20100930028145 ND DME Supplier - Pharmacy 7214027820 Practice locations: Fargo, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2206293Linson Pharmacy3175 25TH St S, Fargo, ND 58103Certificate of waiverDec 17, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Linson Pharmacy LTD3175 25TH St S, Fargo, ND 58103-5025(701) 293-6022 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

3175 25th St S
Fargo, ND 58103
Phone (701) 293-6022

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1386664829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036171",
            "telephone_number": "701-293-6022",
            "fax_number": "701-293-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036171",
            "telephone_number": "701-293-6022",
            "fax_number": "701-293-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINSON PHARMACY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "BOEHNING",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "701-293-6022",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ND",
            "license": "PHAR6",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "261023",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071414",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21131",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721062100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.