Clinical Supplies Management Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

47076 Issued in ND

Legal business name

CLINICAL SUPPLIES MANAGEMENT INC

Doing business as

Clinical Supplies Management Inc

Practice address

342 42ND St S
Fargo, ND 58103-1132

Phone

(701) 235-8002

Fax

(701) 235-8014

NPI assigned

Mar 7, 2008

Last updated

Mar 12, 2008By 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

Gerald Finken

Title

President

Phone

(701) 235-8002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CLINICAL SUPPLIES MANAGEMENT INC Doing business as

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1649440512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 42ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 42ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031132",
            "telephone_number": "701-235-8002",
            "fax_number": "701-235-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SUPPLIES MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "FINKEN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-235-8002"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "ND",
            "license": "47076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3504518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICAL SUPPLIES MANAGEMENT INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Fargo, ND
• Providers in Fargo, ND by specialty
• Mail Order Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.