KH Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KH PHARMACY, INC.

Doing business as

The Medicine Shoppe 0977

Practice address

116 2ND Ave NW
Mandan, ND 58554-3122

Phone

(701) 663-1151

Fax

(701) 663-4514

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Haugen, PHARMDNPI 1720682081

Title

Pharmacist/Owner

Phone

(701) 663-1151

Specialties & licenses 1

Addresses

Other names 1

• The Medicine Shoppe 0977 Doing business as

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

Enrollment records 2

Tax ID family

KH Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• KH Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Mandan, ND
  • NPI 1548192693
  NPD tax ID

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.

• Kenneth Haugen, PHARMD

  • Pharmacist
  • Bismarck, ND
  • NPI 1720682081
  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1689362402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 2ND AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543122",
            "telephone_number": "701-663-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 2ND AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543122",
            "telephone_number": "701-663-1151",
            "fax_number": "701-663-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KH PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "701-663-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe 0977",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah D Keller, LMT
• Marilyn J. Keller, SLP
• Kersten Chiropractic, P.C.
• Brad Ryan Kersten, D.C.
• KH Pharmacy, Inc.
• Kids in Motion Inc
• Krystal Dawn Kindelin
• Destiny Kindsvogel
• Eden Grace Kindsvogel
• Andrew King, DC

• Community/Retail Pharmacy in Mandan, ND
• Providers in Mandan, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.

Verify at the official NPI Registry.