Individual provider Active NPI

Scott Barglof

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1457674376
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
115669 Issued in MN
Practice address
5670 38TH Ave S Unit a
Fargo, ND 58104-9051
Phone
(701) 205-4545
NPI assigned
Mar 5, 2010
Last updated
May 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH5210 ND
Pharmacist 183500000X 115669 MN Primary

Addresses

Primary practice location

5670 38TH Ave S Unit a
Fargo, ND 58104-9051

Mailing address

3000 Highway 10 E
Moorhead, MN 56560-2515

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

State licenses

LicenseStateTypeSpecialty
115669MNMDPharmacist
RPH5210NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Main St RX LLC CurrentSince May 12, 2024 Accepting new patients
Lifescript Pharmacy PLLC CurrentSince May 12, 2024 Accepting new patients

Locations

5670 38th Ave S
Unit A
Fargo, ND 58104
Phone (701) 205-4545

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1457674376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HIGHWAY 10 E",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 38TH AVE S UNIT A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049051",
            "telephone_number": "701-205-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGLOF",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-05",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5210",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 9, 2024; 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.