Organization Active NPI

MS4 PLLC

  • Community/Retail Pharmacy
  • Horace, ND
National Provider Identifier
1477212116
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MS4 PLLC
Practice address
8001 Jacks Way Ste 101
Horace, ND 58047-2802
Phone
(701) 997-5337
Fax
(701) 997-5338
NPI assigned
Dec 9, 2021
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Lanell HagenNPI 1821431206
Title
Pharmacist/Owner
Phone
(701) 293-0221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

8001 Jacks Way Ste 101
Horace, ND 58047-2802

Mailing address

8001 Jacks Way Ste 101
Horace, ND 58047-2802
Phone (701) 997-5337

National Provider Directory

National Provider Directory
Tax ID family
MS4 PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8001 Jacks Way
Horace, ND 58047

8001 Jacks Way
Ste 101
Horace, ND 58047
Phone (701) 997-5337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1477212116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 JACKS WAY STE 101",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580472802",
            "telephone_number": "701-997-5337",
            "fax_number": "701-997-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 JACKS WAY STE 101",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580472802",
            "telephone_number": "701-997-5337",
            "fax_number": "701-997-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS4 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "LANELL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "701-293-0221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horace, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.