Individual provider Active NPI

Laurel Ann Haroldson, R. PH.

  • Pharmacist
  • Jamestown, ND
National Provider Identifier
1417234212
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3392 Issued in ND
Practice address
213 1St Ave N
Jamestown, ND 58401-3165
Phone
(701) 252-3181
Fax
(701) 252-0906
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3392 ND Primary

Addresses

Primary practice location

213 1St Ave N
Jamestown, ND 58401-3165

Mailing address

213 1St Ave N
Jamestown, ND 58401-3165
Phone (701) 252-3181

Other identifiers 1

IdentifierTypeStateIssuer
3392OtherNDPHARMACIST LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1417234212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 1ST AVE N",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013165",
            "telephone_number": "701-252-3181",
            "fax_number": "701-252-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 1ST AVE N",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013165",
            "telephone_number": "701-252-3181",
            "fax_number": "701-252-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROLDSON",
        "first_name": "LAUREL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R. PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "3392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST  LICENSE NUMBER",
            "identifier": "3392",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.