Active NPI
Dwight R Mundy, R.PH
- Pharmacist
- Dickinson, ND
National Provider Identifier
1467544601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3105
- Practice address
- 16 West Villard
Dickinson, ND 58601-1073 - Phone
- (701) 225-5171
- Fax
- (701) 225-1466
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3105 | ND | Primary |
Addresses
Primary practice location
16 West Villard
Dickinson, ND 58601-1073
Mailing address
1289 13TH Street West
Dickinson, ND 58601
Phone (701) 225-5171
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3105 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & S Corporation Dba Greene Drug | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacist
- Dickinson, ND
- NPI 1245322437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467544601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 13TH STREET WEST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "58601",
"telephone_number": "701-225-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WEST VILLARD",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586011073",
"telephone_number": "701-225-5171",
"fax_number": "701-225-1466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDY",
"first_name": "DWIGHT",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "3105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.