Nicholas Huseby, RPH
Individual provider Active NPI Pharmacist · Fargo, ND
NPI 1508459983 · NPPES record last updated Feb 16, 2021
Key facts
- NPI
- 1508459983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH6064 (ND)
- Practice address
- 5675 26TH Ave S Ste 136a
Fargo, ND 58104-8975 - Phone
- (701) 373-0685
- NPI assigned
- Feb 16, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH6064 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health Marketing LLC | Past |
Accepting new patients | |
| Seip Drug LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH6064 | ND | Yes |
Addresses
Primary practice location
5675 26TH Ave S Ste 136a
Fargo, ND 58104-8975
Mailing address
2633 55TH St S Apt 403
Fargo, ND 58104-9168
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.