MD Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR843 Issued in ND

Legal business name

MD PHARMACY LLC

Doing business as

M-D Pharmacy

Practice address

4101 13TH Ave S Ste S
Fargo, ND 58103-2108

Phone

(701) 364-5690

Fax

(701) 356-4996

NPI assigned

Jun 19, 2013

Last updated

May 17, 2025By 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

Dr. Dustin Charles Groff, PHARMDNPI 1639794027

Title

Owner / Pharmacist

Phone

(701) 364-5690

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• M-D Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Tax ID family

M-D Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MD Pharmacy LLC

  dba M-D Pharmacy LTC

  • Long Term Care Pharmacy
  • Fargo, ND
  • NPI 1740938935
  NPD tax ID

Locations

Practitioners 2

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.

• Dustin Charles Groff, PHARMD

  • Pharmacist
  • Fargo, ND
  • NPI 1639794027
  NPD Authorized official
• Teresa Vivian Berg-Crooks, RPH

  • Pharmacist
  • Valley City, ND
  • NPI 1447962899
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1396184750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 13TH AVE S",
            "address_2": "SUITE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033342",
            "telephone_number": "701-364-5690",
            "fax_number": "701-356-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 13TH AVE S STE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032108",
            "telephone_number": "701-364-5690",
            "fax_number": "701-356-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "701-364-5690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450561",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396184750",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M-D Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M-D Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Giles W McNeill, DO
• Melanie J McNutt, MS-SLP
• Brittany Lee McPherson, PA-C
• Donna M McPherson, RPH
• MD Hearing, Inc.
• MD Pharmacy LLC (M-D Pharmacy LTC)
• Kathryn Mead
• Whitney Mead
• Meadowlark Home Therapy LLC (Meadowlark Home Therapy)
• Debora Lynn Meadows

• Community/Retail Pharmacy in Fargo, ND
• Providers in Fargo, 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 May 17, 2025; 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.