Crosby Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR949 Issued in ND

Legal business name

CROSBY DRUG LLC

Doing business as

Crosby Drug

Practice address

30 Main Street North
Crosby, ND 58730-0050

Phone

(701) 965-6671

Fax

(701) 965-6849

NPI assigned

Jan 21, 2016

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel Gratz, PHARMD

Title

Partner/Owner

Phone

(701) 572-7979

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Crosby Drug Doing business as

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1548627631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "address_2": "P.O. BOX 888",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587300861",
            "telephone_number": "701-965-6671",
            "fax_number": "701-965-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN STREET NORTH",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587300050",
            "telephone_number": "701-965-6671",
            "fax_number": "701-965-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSBY DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "GRATZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "701-572-7979",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR949",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466938",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crosby Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Elliot Andre, O.D.
• Nevaeh Amaru Beason
• Allison Jade Benson, RD, LRD
• Crosby Chiropractic Clinic
• Divide County Ambulance District
• Divide County Social Services
• Thomas Robert Everett
• Heather Gilbertson, LMSW
• Gabrielle Goga, BSN, RN

• Community/Retail Pharmacy in Crosby, ND
• Providers in Crosby, 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 Apr 5, 2017; 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.