Medical Pharmacy Moorhead Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

265281 Issued in MN

Legal business name

MEDICAL PHARMACY MOORHEAD INC

Practice address

950 40TH Ave S
Moorhead, MN 56560-6170

Phone

(218) 359-4007

Fax

(218) 359-4010

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Sheila Nudell

Title

President and Manager

Phone

(218) 233-7365

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MEDICAL PHARMACY MOORHEAD AZOOL Doing business as

Locations

Practitioners 5

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

• Claire Elise Askegaard, RPH

  • Pharmacist
  • Moorhead, MN
  • NPI 1427651199
  NPD (past)
• Susan Dill, PHARMD

  • Pharmacist
  • Moorhead, MN
  • NPI 1225403546
  NPD (past)
• Erianne Siena Gibson, PHARMD

  • Pharmacist
  • Moorhead, MN
  • NPI 1154730893
  NPD (past)
• Meghan Gronbeck

  • Pharmacist
  • Moorhead, MN
  • NPI 1366884140
  NPD (past)
• Johanna Christianson, PHARMD

  • Pharmacist
  • Fargo, ND
  • NPI 1538574298
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1457747164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 40TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606170",
            "telephone_number": "218-359-4007",
            "fax_number": "218-359-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 40TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606170",
            "telephone_number": "218-359-4007",
            "fax_number": "218-359-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PHARMACY MOORHEAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "NUDELL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT AND MANAGER",
        "authorized_official_telephone_number": "218-233-7365"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "265281",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168164",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457747164",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PHARMACY MOORHEAD AZOOL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meadows Health Services LLC
• Med-Plus Health Care, PLLC
• Med-Plus Therapy LTD
• Joni Lea Medenwald, MSW, LSW
• Medical Pharmacy Moorhead Inc
• Charles Meek, MS, ATC
• Christine Jane Mehl, OTHER MIDWIFE/LICENS
• Joni K Mehrhoff, MS, CCC-SLP
• Lisa Meidlinger
• Dana Melby

• Community/Retail Pharmacy in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.