NPIMap

Organization Active NPI

North Dakota Docr Pharmacy

  • Institutional Pharmacy
  • Bismarck, ND
National Provider Identifier
1649329632
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
NORTH DAKOTA DOCR PHARMACY
Practice address
3100 Railroad Avenue
Bismarck, ND 58506-5521
Phone
(701) 328-6389
Fax
(701) 328-6391
NPI assigned
Jan 9, 2007
Last updated
Dec 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Mr. Kenneth P Johnson, RPH
Title
Director of Pharmacy
Phone
(701) 328-6389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3397 ND
Institutional Pharmacy 3336I0012X NU Primary

Addresses

Primary practice location

3100 Railroad Avenue
Bismarck, ND 58506-5521

Mailing address

PO Box 5521
3100 Railroad Avenue
Bismarck, ND 58506-5521
Phone (701) 328-6389

National Provider Directory

National Provider Directory
Tax ID family
Lake Region HSC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1649329632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5521",
            "address_2": "3100 RAILROAD AVENUE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065521",
            "telephone_number": "701-328-6389",
            "fax_number": "701-328-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RAILROAD AVENUE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065521",
            "telephone_number": "701-328-6389",
            "fax_number": "701-328-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DAKOTA DOCR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "701-328-6389",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "3397",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 2009; 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.