NPIMap

Organization Active NPI

University of North Dakota

Doing business as Center for Family Medicine Pharmacy

  • Institutional Pharmacy
  • Bismarck, ND
National Provider Identifier
1538428610
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PHAR680 Issued in ND
Legal business name
UNIVERSITY OF NORTH DAKOTA
Doing business as
Center for Family Medicine Pharmacy
Practice address
701 E Rosser Ave
Bismarck, ND 58501-4461
Phone
(701) 751-6800
Fax
(701) 751-6804
NPI assigned
May 10, 2012
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Billie KrushNPI 1235265174
Title
Director of Pharmacy
Phone
(701) 751-9500

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
Institutional Pharmacy 3336I0012X PHAR680 ND Primary

Addresses

Primary practice location

701 E Rosser Ave
Bismarck, ND 58501-4461

Mailing address

701 E Rosser Ave
Bismarck, ND 58501-4461
Phone (701) 751-6800

Other identifiers 2

IdentifierTypeStateIssuer
1456172MedicaidND
2135060OtherPK

Other names 1

  • Center for Family Medicine Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bismark Family Practice14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

701 E Rosser Ave
Bismarck, ND 58501
Phone (701) 751-6755

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": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1538428610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014461",
            "telephone_number": "701-751-6800",
            "fax_number": "701-751-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014461",
            "telephone_number": "701-751-6800",
            "fax_number": "701-751-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "KRUSH",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "701-751-9500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "ND",
            "license": "PHAR680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456172",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Family Medicine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.