Organization Active NPI

KB Pharmacy PLLC

Doing business as Grafton Drug

  • Community/Retail Pharmacy
  • Grafton, ND
National Provider Identifier
1740228774
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR730 Issued in ND
Legal business name
KB PHARMACY PLLC
Doing business as
Grafton Drug
Practice address
38 E 12TH St
Grafton, ND 58237-2212
Phone
(701) 352-0831
Fax
(701) 352-1910
NPI assigned
Jun 3, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Beth WharamNPI 1649482787
Title
Co-Owner
Phone
(701) 352-0831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHAR730 ND
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHAR730 ND Primary

Addresses

Primary practice location

38 E 12TH St
Grafton, ND 58237-2212

Mailing address

38 E 12TH St
Grafton, ND 58237-2212
Phone (701) 352-0831

Other identifiers 2

IdentifierTypeStateIssuer
2071615OtherPK
1454339MedicaidND

Other names 1

  • GRAFTON DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930081466 ND DME Supplier - Pharmacy 6709088222 Practice locations: Grafton, ND
O20130808000567 ND Part B Supplier - Mass Immunization (Roster Biller Only) 6709088222 Practice locations: Grafton, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Grafton Drug38 E 12TH St, Grafton, ND 58237-2212(701) 352-0831 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Urological Supplies Accepts assignmentParticipating since Jul 1, 2006

National Provider Directory

National Provider Directory

Locations

38 E 12th St
Grafton, ND 58237
Phone (701) 325-0831

Practitioners & affiliated clinicians

Practitioners 4

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1740228774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E 12TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582372212",
            "telephone_number": "701-352-0831",
            "fax_number": "701-352-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E 12TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582372212",
            "telephone_number": "701-352-0831",
            "fax_number": "701-352-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "WHARAM",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "701-352-0831"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ND",
            "license": "PHAR730",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071615",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454339",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAFTON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grafton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.