Active NPI
Walls Medicine Center Inc
Doing business as Walls Medicine Center
- Community/Retail Pharmacy
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WALLS MEDICINE CENTER INC
- Doing business as
- Walls Medicine Center
- Practice address
- 708 S Washington St
Grand Forks, ND 58201-4328 - Phone
- (701) 746-0497
- Fax
- (701) 746-7908
- NPI assigned
- Oct 13, 2006
- Last updated
- Sep 29, 2025
- 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
- Cody B Varnson, RPH
- Title
- Owner/President
- Phone
- (701) 746-0497
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
708 S Washington St
Grand Forks, ND 58201-4328
Mailing address
708 S Washington St
Grand Forks, ND 58201-4328
Phone (701) 746-0497
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456057 | Medicaid | ND | |
| 927357300 | Medicaid | MN |
Other names 1
- WALLS MEDICINE CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070419000620 | ND | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628173614 | Practice locations: Grand Forks, ND |
| O20100930063479 | ND | DME Supplier - Pharmacy | 8628173614 | Practice locations: Grand Forks, 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 |
|---|---|---|
| Walls Medicine Center | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Urological Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4440 S Washington St
Ste 101D
Grand Forks, ND 58201
Phone (701) 732-2900
708 S Washington St
Grand Forks, ND 58201
Phone (701) 746-0497
Practitioners & affiliated clinicians
Practitioners 9
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
- Grand Forks, ND
- NPI 1780197319
-
- Pharmacist
- Grand Forks, ND
- NPI 1215237441
-
- Pharmacist
- Grand Forks, ND
- NPI 1760738660
-
- Pharmacist
- Grand Forks, ND
- NPI 1366013518
-
- Pharmacist
- Fargo, ND
- NPI 1295008555
-
- Pharmacist
- Grand Forks, ND
- NPI 1720393788
-
- Pharmacist
- Grand Forks, ND
- NPI 1407162894
-
- Pharmacist
- Grand Forks, ND
- NPI 1114598349
-
- Pharmacist
- Grand Forks, ND
- NPI 1700399326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1407946338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S WASHINGTON ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014328",
"telephone_number": "701-746-0497",
"fax_number": "701-746-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S WASHINGTON ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014328",
"telephone_number": "701-746-0497",
"fax_number": "701-746-7908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALLS MEDICINE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "VARNSON",
"authorized_official_first_name": "CODY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "701-746-0497",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1456057",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "927357300",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WALLS MEDICINE CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WALLS MEDICINE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.