Individual provider Active NPI

Noell Debra Just, RPH

  • Pharmacist
  • Hazen, ND
National Provider Identifier
1740402189
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3628 Issued in ND
Practice address
30 West Main
Hazen, ND 58545
Phone
(701) 748-2636
Fax
(701) 748-2637
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3628 ND Primary

Addresses

Primary practice location

30 West Main
Hazen, ND 58545

Mailing address

1020 Beaumont Drive
Hazen, ND 58545
Phone (701) 748-6261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3628NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazen Drug Inc. Pharmacist Past Accepting new patients
Hazen Health Pharmacy PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740402189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BEAUMONT DRIVE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "58545",
            "telephone_number": "701-748-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST MAIN",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "58545",
            "telephone_number": "701-748-2636",
            "fax_number": "701-748-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUST",
        "first_name": "NOELL",
        "middle_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "3628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazen, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.