West Acres Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR113 Issued in ND

Legal business name

WEST ACRES PHARMACY INC

Doing business as

West Acres Pharmacy

Practice address

3902 13TH Ave S
Ste 3706
Fargo, ND 58103-3357

Phone

(701) 282-0285

Fax

(701) 281-2728

NPI assigned

Mar 5, 2007

Last updated

Jun 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney Loberg

Title

Manager and Partner

Phone

(701) 282-0285

Specialties & licenses 2

Addresses

Other names 1

• WEST ACRES PHARMACY Doing business as

Locations

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.

• Dillon Jerome Boe, RPH

  • Pharmacist
  • Fargo, ND
  • NPI 1508430992
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1487783262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 13TH AVE S",
            "address_2": "STE 3706",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033357",
            "telephone_number": "701-282-0285",
            "fax_number": "701-281-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 13TH AVE S",
            "address_2": "STE 3706",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033357",
            "telephone_number": "701-282-0285",
            "fax_number": "701-281-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ACRES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "LOBERG",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "MANAGER AND PARTNER",
        "authorized_official_telephone_number": "701-282-0285"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST ACRES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Werth
• Telpeh G Wesseh I
• Bruce Henry Wessman, PT
• Henry Clair Wessman, P.T.
• West & Ehlis Orthodontic Management Company LLC
• Medora Caroline West-Roehl, D.M.D.
• Danielle Jean West, RN
• Jenny West
• Ryan M West, DDS
• Erin Westby, PHARM.D.

• 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 Jun 19, 2015; 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.