Active NPI
MD Pharmacy LLC
- Long Term Care Pharmacy
- Fargo, ND
National Provider Identifier
1740938935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MD PHARMACY LLC
- Practice address
- 4101 13TH Ave S Ste S
Fargo, ND 58103-2108 - Phone
- (701) 364-5690
- Fax
- (701) 235-6159
- NPI assigned
- Mar 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dustin Charles Groff, PHARMD, RPH
- Title
- Owner / Pharmacist
- Phone
- (701) 364-5690
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
4101 13TH Ave S Ste S
Fargo, ND 58103-2108
Mailing address
4101 13TH Ave S Ste S
Fargo, ND 58103-2108
Phone (701) 364-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3505445 | Other | NABP |
Other names 1
- M-D Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- M-D Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Fargo, ND
- NPI 1396184750
Locations
4101 13th Ave S
Ste S
Fargo, ND 58103
Phone (701) 364-5690
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fargo, ND
- NPI 1639794027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1740938935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 13TH AVE S STE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032108",
"telephone_number": "701-364-5690",
"fax_number": "701-235-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 13TH AVE S STE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032108",
"telephone_number": "701-364-5690",
"fax_number": "701-235-6159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-16",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "GROFF",
"authorized_official_first_name": "DUSTIN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER / PHARMACIST",
"authorized_official_telephone_number": "701-364-5690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD, RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3505445",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "M-D Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.