Active NPI
Milk Market LLC
- Durable Medical Equipment & Medical Supplies
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bethany L Hill, RN, IBCLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230831002425 | ND | DME Supplier - Department Store | 3274996798 | Practice locations: Fargo, ND |
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 |
|---|---|---|
| Milk Market | Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Lactation Consultant (Registered Nurse)
- Fargo, ND
- NPI 1093431207
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.