NPIMap

Organization Active NPI

Northern Itasca Hospital Pharmacy

Doing business as Bigfork Valley Hospital Pharmacy

  • Institutional Pharmacy
  • Bigfork, MN
National Provider Identifier
1740558634
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
261307 Issued in MN
Legal business name
NORTHERN ITASCA HOSPITAL PHARMACY
Doing business as
Bigfork Valley Hospital Pharmacy
Practice address
258 Pine Tree Drive
Bigfork, MN 56628-0258
Phone
(218) 743-4225
Fax
(218) 743-4313
NPI assigned
Dec 6, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Harold Daniel Odegaard
Title
Ceo
Phone
(218) 743-4115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 261307 MN Primary
Long Term Care Pharmacy 3336L0003X 261307 MN

Addresses

Primary practice location

258 Pine Tree Drive
Bigfork, MN 56628-0258

Mailing address

PO Box 258
258 Pine Tree Drive
Bigfork, MN 56628-0258
Phone (218) 743-4225

Other names 1

  • Bigfork Valley Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Itasca Hospital District7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740558634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "address_2": "258 PINE TREE DRIVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566280258",
            "telephone_number": "218-743-4225",
            "fax_number": "218-743-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 PINE TREE DRIVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566280258",
            "telephone_number": "218-743-4225",
            "fax_number": "218-743-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ITASCA HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ODEGAARD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-743-4115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MN",
            "license": "261307",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "261307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bigfork Valley Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bigfork, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.