Organization Active NPI

LG Meadows Inc

  • Community/Retail Pharmacy
  • Dickinson, ND
National Provider Identifier
1407038532
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LG MEADOWS INC
Practice address
431 W Villard St
Dickinson, ND 58601-5016
Phone
(701) 227-8265
Fax
(701) 227-8289
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Laren G Meadows, RPHNPI 1518940527
Title
Owner
Phone
(701) 227-8265

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X ND Primary

Addresses

Primary practice location

431 W Villard St
Dickinson, ND 58601-5016

Mailing address

431 W Villard St
Dickinson, ND 58601-5016

Other identifiers 2

IdentifierTypeStateIssuer
3502920OtherNDNCPDP
20834MedicaidND

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

431 W Villard St
Dickinson, ND 58601
Phone (701) 227-8265

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407038532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W VILLARD ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W VILLARD ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015016",
            "telephone_number": "701-227-8265",
            "fax_number": "701-227-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG MEADOWS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "LAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-227-8265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3502920",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20834",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "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 Mar 7, 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.