Active NPI
Taylor Drug Co Inc
- Community/Retail Pharmacy
- Mandan, ND
National Provider Identifier
1588753198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHAR3
- Legal business name
- TAYLOR DRUG CO INC
- Practice address
- 2600 Overlook LN NW
Mandan, ND 58554-1594 - Phone
- (701) 663-5188
- Fax
- (701) 663-1880
- NPI assigned
- Oct 12, 2006
- 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
- Anne Brader
- Title
- Cfo
- Phone
- (763) 513-4300
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHAR3 | ND | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
2600 Overlook LN NW
Mandan, ND 58554-1594
Mailing address
6701 Evenstad Dr N Ste 100
Maple Grove, MN 55369-6013
Phone (763) 513-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2071352 | Other | PK | |
| 000020930 | Medicaid | ND |
Other names 1
- Thrifty White Pharmacy #043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100608000657 | ND | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355471954 | Practice locations: Mandan, ND |
| O20100930045760 | ND | DME Supplier - Pharmacy | 1355471954 | Practice locations: Mandan, ND |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2054507 | Thrifty White Pharmacy #043 | Certificate of waiver | Feb 21, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thrifty White Pharmacy #043 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2600 Overlook Ln NW
Mandan, ND 58554
Phone (701) 663-5188
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mandan, ND
- NPI 1124755301
-
- Pharmacist
- Mandan, ND
- NPI 1558581900
-
- Pharmacist
- Mandan, ND
- NPI 1952716425
-
- Pharmacist
- Lincoln, ND
- NPI 1881180883
-
- Pharmacist
- Mandan, ND
- NPI 1952227761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1588753198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 EVENSTAD DR N STE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553696013",
"telephone_number": "763-513-4300",
"fax_number": "763-513-4380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 OVERLOOK LN NW",
"city": "MANDAN",
"state": "ND",
"postal_code": "585541594",
"telephone_number": "701-663-5188",
"fax_number": "701-663-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLOR DRUG CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "BRADER",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "763-513-4300"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ND",
"license": "PHAR3",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2071352",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000020930",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrifty White Pharmacy #043",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Thrifty White Pharmacy #043",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mandan, ND
- Destiny Swanson
- Sweet Briar Counseling, PLLC
- Carman Swenson
- Brittany Swensrud
- Denise Renee Tanner, LMSW
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Nutrition Practice PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.