Active NPI
N D Pharmacy Inc
- Community/Retail Pharmacy
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 35
- Legal business name
- N D PHARMACY INC
- Doing business as
- N D Pharmacy Inc
- Practice address
- 1761 3Rd Ave W
Suite B
Dickinson, ND 58601 - Phone
- (701) 225-4434
- Fax
- (701) 225-0013
- NPI assigned
- Jun 22, 2006
- Last updated
- Feb 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Treitline, RPH
- Title
- Owner
- Phone
- (701) 225-4434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 35 | ND | Primary |
Addresses
Primary practice location
1761 3Rd Ave W
Suite B
Dickinson, ND 58601
Mailing address
PO Box 9830
Salt Lake City, UT 84109-9830
Phone (877) 540-4748
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212585 | Medicaid | MT | |
| 020817 | Medicaid | ND | |
| 2071275 | Other | PK |
Other names 1
- N D PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090924000734 | ND | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698821197 | Practice locations: Dickinson, ND |
| O20100930051383 | ND | DME Supplier - Pharmacy | 5698821197 | Practice locations: Dickinson, ND |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| ND Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- ND Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Williston, ND
- NPI 1558376152
Locations
1761 3rd Ave W
Ste B
Dickinson, ND 58601
Phone (701) 225-4434
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Dickinson, ND
- NPI 1043424252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519344000000",
"number": "1386680767",
"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": "877-540-4748",
"fax_number": "801-716-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 3RD AVE W",
"address_2": "SUITE B",
"city": "DICKINSON",
"state": "ND",
"postal_code": "58601",
"telephone_number": "701-225-4434",
"fax_number": "701-225-0013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N D PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2018-02-23",
"status": "A",
"authorized_official_last_name": "TREITLINE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-225-4434",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ND",
"license": "35",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0212585",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020817",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2071275",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "N D PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.