Organization Active NPI

Milk Market LLC

  • Durable Medical Equipment & Medical Supplies
  • Fargo, ND
National Provider Identifier
1407545601
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MILK MARKET LLC
Practice address
1801 45TH St S Ste E
Fargo, ND 58103-0801
Phone
(701) 532-0284
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Mrs. Bethany L Hill, RN, IBCLCNPI 1093431207
Title
Owner
Phone
(612) 799-9195

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1801 45TH St S Ste E
Fargo, ND 58103-0801

Mailing address

4302 13TH Ave S Ste 4-328
Fargo, ND 58103-3395
Phone (612) 799-9195

Other names 1

  • Milk Market Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230831002425 ND DME Supplier - Department Store 3274996798 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Milk Market1801 45TH St S, Fargo, ND 58103-0801(701) 532-0284 Surgical Dressings Does not accept assignmentParticipating since Jul 12, 2023

National Provider Directory

National Provider Directory

Locations

1801 45th St S
Ste E
Fargo, ND 58103
Phone (701) 532-0284

4302 13th Ave S
Ste 4328
Fargo, ND 58103

Practitioners & affiliated clinicians

Practitioners 1

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": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1407545601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 13TH AVE S STE 4-328",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033395",
            "telephone_number": "612-799-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 45TH ST S STE E",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581030801",
            "telephone_number": "701-532-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILK MARKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-799-9195",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milk Market",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milk Market",
            "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 Sep 7, 2023; 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.