Organization Active NPI

Heritage Pharmacy East, Inc

  • Community/Retail Pharmacy
  • Bismarck, ND
National Provider Identifier
1548276371
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
154 Issued in ND
Legal business name
HERITAGE PHARMACY EAST, INC
Practice address
1000 E Rosser Ave
Bismarck, ND 58501-4512
Phone
(701) 751-8000
Fax
(701) 751-2584
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Andrew Kristensen, RPH
Title
Owner
Phone
(701) 751-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 154 ND Primary

Addresses

Primary practice location

1000 E Rosser Ave
Bismarck, ND 58501-4512

Mailing address

1000 E Rosser Ave
Bismarck, ND 58501-4512
Phone (701) 751-8000

Other identifiers 1

IdentifierTypeStateIssuer
21403MedicaidND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1548276371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014512",
            "telephone_number": "701-751-8000",
            "fax_number": "701-751-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014512",
            "telephone_number": "701-751-8000",
            "fax_number": "701-751-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PHARMACY EAST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "KRISTENSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-751-8000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21403",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 1, 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.