St. Alexius Medical Center Pharmacy

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

190 Issued in ND

Legal business name

ST. ALEXIUS MEDICAL CENTER PHARMACY

Practice address

900 E Broadway Ave
Bismarck, ND 58506-5510

Phone

(701) 530-6922

Fax

(701) 530-6948

NPI assigned

Sep 17, 2012

Organization subpart

Yes

Parent organization

ST. ALEXIUS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Gary Miller

Title

Ceo

Phone

(701) 530-7610

Specialties & licenses 2

Addresses

Other names 1

• St Alexius Medical Center Pharmacy Doing business as

Part of

St Alexius Medical Cent

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1447500566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065510",
            "telephone_number": "701-530-6922",
            "fax_number": "701-530-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065510",
            "telephone_number": "701-530-6922",
            "fax_number": "701-530-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALEXIUS MEDICAL CENTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. ALEXIUS MEDICAL CENTER",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-530-7610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "190",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "ND",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Alexius Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Alexius Medical Center
• St. Alexius Medical Center
• St. Alexius Medical Center
• St. Alexius Medical Center
• St. Alexius Medical Center
• Christine Ann Staab, C.R.PH TECH
• Annette Jolene Staael
• Stacey S Haugen, PLLC
• Sara Stadick
• Darla J Stafford, LICSW

• Institutional Pharmacy in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Institutional Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.