Johnson Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JOHNSON DRUG CO

Practice address

2522 N Broadway
Fargo, ND 58102

Phone

(701) 235-5543

Fax

(701) 298-0112

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel J Kupfer, RPHNPI 1487954780

Title

Pharmacist in Charge Owner

Phone

(701) 235-5543

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northport Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

Enrollment records 2

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

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Kupfer

  • Pharmacist
  • Fargo, ND
  • NPI 1487954780
  NPD (past) Authorized official
• Joshua Kamphaugh, PHARM.D.

  • Pharmacist
  • Fargo, ND
  • NPI 1821398082
  NPD
• Jordan Cole Andrud

  • Pharmacist
  • Fargo, ND
  • NPI 1114652500
  NPD (past)
• Allison Ruth Chapin, PHARM. D.

  • Pharmacist
  • Fargo, ND
  • NPI 1124338363
  NPD (past)
• Brittany Ann Fraase, PHARMD

  • Pharmacist
  • Fargo, ND
  • NPI 1619867538
  NPD (past)
• Cydney Judith Runsvold, RPH

  • Pharmacist
  • Fargo, ND
  • NPI 1780985986
  NPD (past)
• Kelly Tran, PHARMD

  • Pharmacist
  • Fargo, ND
  • NPI 1063126852
  NPD (past)
• Jessica Nicole Pullis, PHARMD

  • Pharmacist
  • Benson, MN
  • NPI 1275880775
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457419962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N BROADWAY",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-235-5543",
            "fax_number": "701-298-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 N BROADWAY",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-235-5543",
            "fax_number": "701-298-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUPFER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE OWNER",
        "authorized_official_telephone_number": "701-235-5543",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021296",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3502689",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northport Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John J. Pollard, D.D.S., P.C.
• Courtney Kay John, FNP-C, RN
• Melissa Dale John, APRN, CNP
• Ashley Johnk
• Sidney R Johnk, APRN,CNP
• Wendy Johnson-Oscarson
• Nancy Johnson-Seidel
• Abby Jayne Johnson
• Abby Rose Johnson, PT, DPT
• Albertha Johnson

• Community/Retail Pharmacy in Fargo, ND
• Providers in Fargo, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.