Individual provider Active NPI

Jadey Risovi

  • Pharmacist
  • Devils Lake, ND
National Provider Identifier
1598490385
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH6425 Issued in ND
Practice address
323 5TH St NE Ste 2
Devils Lake, ND 58301-2476
Phone
(701) 662-3022
NPI assigned
Jul 18, 2022
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH6425 ND Primary

Addresses

Primary practice location

323 5TH St NE Ste 2
Devils Lake, ND 58301-2476

Mailing address

2475 32ND Ave S Ste 1
Grand Forks, ND 58201-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RPH6425NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
White Drug Co of Jamestown Inc PastSince Jul 1, 2022 Accepting new patients
White Drug Co of Jamestown Inc PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1598490385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 32ND AVE S STE 1",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 5TH ST NE STE 2",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012476",
            "telephone_number": "701-662-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISOVI",
        "first_name": "JADEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.