Mandan Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MANDAN DRUG

Practice address

316 W Main St # 398
Mandan, ND 58554-3144

Phone

(701) 663-5900

Fax

(701) 663-5311

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Russel Kruger

Title

Owner

Phone

(701) 663-5900

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528062312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W MAIN ST # 398",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W MAIN ST # 398",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543144",
            "telephone_number": "701-663-5900",
            "fax_number": "701-663-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDAN DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-663-5900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ND",
            "license": "67",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3501283",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20801",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook Mahoney
• Michael D Maier, D.D.S.
• Joseph Makoba, MD
• Anthony George Malaktaris, DDS
• Mandan Chiropractic Clinic Inc.
• Krysten Manguson
• Kimberly Mark
• Julie Marmon
• Jessica Lynn Martin
• Mariah Kae Martin

• Community/Retail Pharmacy in Mandan, ND
• Providers in Mandan, 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 Sep 11, 2025; 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.