NPIMap

Organization Active NPI

Northern Itasca Hospital District

Doing business as Bigfork Valley Pharmacy

  • Community/Retail Pharmacy
  • Bigfork, MN
National Provider Identifier
1487797544
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
261348 Issued in MN
Legal business name
NORTHERN ITASCA HOSPITAL DISTRICT
Doing business as
Bigfork Valley Pharmacy
Practice address
258 Pine Tree Drive
Bigfork, MN 56628-0258
Phone
(218) 743-4444
Fax
(218) 743-4232
NPI assigned
Feb 15, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN ITASCA HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Heather Leigh Bibeau, PHARMDNPI 1629345715
Title
Director of Pharmacy
Phone
(218) 743-4444

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
Community/Retail Pharmacy 3336C0003X 261348 MN Primary
Long Term Care Pharmacy 3336L0003X 261348 MN

Addresses

Primary practice location

258 Pine Tree Drive
Bigfork, MN 56628-0258

Mailing address

PO Box 258
258 Pine Tree Drive
Bigfork, MN 56628-0258
Phone (218) 743-4444

Other identifiers 4

IdentifierTypeStateIssuer
2421840OtherMNNCPDP
222121700MedicaidMN
2613482OtherMNBOARD OF PHARMACY
2613482OtherMNPHARMACY LICENSE

Other names 1

  • Bigfork Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Northern Itasca Hospital District

Practitioners & affiliated clinicians

Practitioners 4

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487797544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "address_2": "258 PINE TREE DRIVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566280258",
            "telephone_number": "218-743-4444",
            "fax_number": "218-743-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 PINE TREE DRIVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566280258",
            "telephone_number": "218-743-4444",
            "fax_number": "218-743-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ITASCA HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN ITASCA HOSPITAL DISTRICT",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BIBEAU",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "218-743-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "261348",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "261348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2421840",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222121700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "2613482",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "2613482",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bigfork Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bigfork, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.