Lisbon Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

308 Issued in ND

Legal business name

LISBON PHARMACY INC

Doing business as

Lisbon Sheyenne Pharmacy

Practice address

404 Main St
Lisbon, ND 58054-4142

Phone

(701) 683-4691

Fax

(701) 683-4550

NPI assigned

Nov 14, 2006

Last updated

Jul 21, 2010By 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

Dennis Buchholz

Title

Pres

Phone

(701) 683-4691

Specialties & licenses 5

Addresses

Other names 1

• LISBON SHEYENNE PHARMACY Doing business as

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1720150238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580540113",
            "telephone_number": "701-683-4691",
            "fax_number": "701-683-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MAIN ST",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544142",
            "telephone_number": "701-683-4691",
            "fax_number": "701-683-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISBON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "BUCHHOLZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "701-683-4691"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "308",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISBON SHEYENNE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisbon Area Health Services (Lisbon Area Health Services Home Care)
• Lisbon Area Health Services (CHI Lisbon Health)
• Lisbon Area Health Services (CHI Lisbon Health)
• Lisbon Chiropractic Clinic PLLC
• Lisbon Dentistry PC (Lisbon Smiles)
• Lisbon Vision Center, P.C.
• Kristina M Long, LPC
• Susan Marie Long, PHARM.D.
• Rudolf Loperena, MD
• Brenda M Maddox

• Community/Retail Pharmacy in Lisbon, ND
• Providers in Lisbon, 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 Jul 21, 2010; 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.