Daniel Moore Churchill, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

4907 Issued in ND

Practice address

1190 W Turnpike Ave
Suite 2
Bismarck, ND 58501-1300

Phone

(701) 224-0339

Fax

(701) 224-0534

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Churchill Pharmacy Holding Inc.

  • Community/Retail Pharmacy
  • Bismarck, ND
  • NPI 1639111230
  NPD (past) Authorized official
• Professional Pharmacy LLC

  • Long Term Care Pharmacy
  • Bismarck, ND
  • NPI 1043243272
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1740300110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 W TURNPIKE AVE",
            "address_2": "SUITE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011300",
            "telephone_number": "701-224-0339",
            "fax_number": "701-224-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W TURNPIKE AVE",
            "address_2": "SUITE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011300",
            "telephone_number": "701-224-0339",
            "fax_number": "701-224-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "DANIEL",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND PROVIDER ID",
            "identifier": "CH30393",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory P Chuppe, D.C.
• Matthew C Chuppe, DC
• McKenzie Jerrit Chuppe, PT, DPT, ATC
• Steven V Chuppe, D.C.
• Churchill Pharmacy Holding Inc.
• Patricia M Churchill, R PH
• Spencer Churchill, PT
• Stephen Paul Churchill, PT/APT
• Eugene Nicholas Cimarosti, LSW
• City of Bismarck

• Pharmacist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.