Active NPI
Dakota Clinic Pharmacy LLC
Doing business as Dakota Clinic Pharmacy on 32 Avenue
- Community/Retail Pharmacy
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHAR313
- Legal business name
- DAKOTA CLINIC PHARMACY LLC
- Doing business as
- Dakota Clinic Pharmacy on 32 Avenue
- Practice address
- 3000 32ND Ave S
Fargo, ND 58103-6132 - Phone
- (701) 364-7800
- Fax
- (701) 364-7808
- NPI assigned
- Jan 15, 2016
- Last updated
- Aug 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Morris
- Title
- Owner/Pharmacist
- Phone
- (701) 364-3450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHAR313 | ND | Primary |
Addresses
Primary practice location
3000 32ND Ave S
Fargo, ND 58103-6132
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-3450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158673 | Other | PK | |
| 1467535 | Medicaid | ND |
Other names 1
- DAKOTA CLINIC PHARMACY ON 32 AVENUE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201030001622 | ND | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496165599 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fargo, ND |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Dakota Clinic Pharmacy on Su Drive
- Community/Retail Pharmacy
- Fargo, ND
- NPI 1154332716
O20201030001622
National Provider Directory
National Provider Directory- Tax ID family
- Dakota Clinic Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dakota Clinic Pharmacy on Su Drive
- Community/Retail Pharmacy
- Fargo, ND
- NPI 1154332716
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.
-
- Pharmacist
- Fargo, ND
- NPI 1053847830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1588021943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-364-3450",
"fax_number": "701-364-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 32ND AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036132",
"telephone_number": "701-364-7800",
"fax_number": "701-364-7808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA CLINIC PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-15",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "701-364-3450"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ND",
"license": "PHAR313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2158673",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467535",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DAKOTA CLINIC PHARMACY ON 32 AVENUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fargo, ND
- Dakota Boys & Girls Ranch Association (Dakota Boys Ranch Fargo RTC)
- Dakota Clinic LTD
- Dakota Clinic LTD at Innovis
- Dakota Clinic of Chiropractic, PLLC
- Dakota Clinic Pharmacy LLC (Dakota Clinic Pharmacy on Su Drive)
- Dakota Clinic, LTD
- Dakota Clinic, LTD. (Dakota Clinic, Ltd. at Innovis)
- Dakota Clinic, LTD. (Dakota Clinic, Ltd. - West Acres)
- Dakota Clinic, LTD. (Dakota Clinic Day Surgery)
- Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Northport)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.