Turtle Lake Rexall Drug Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

185 Issued in ND

Legal business name

TURTLE LAKE REXALL DRUG INC.

Doing business as

Turtle Lake Rexall Drug

Practice address

218 Main
Turtle Lake, ND 58575

Phone

(701) 448-2542

Fax

(701) 448-2357

NPI assigned

Jul 30, 2006

Last updated

Jan 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Malzer, RPHNPI 1417090911

Title

Owner

Phone

(701) 448-2542

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TURTLE LAKE REXALL DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

Enrollment records 2

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

Practitioners 2

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.

• Mark A Malzer, R.PH.

  • Pharmacist
  • Turtle Lake, ND
  • NPI 1417090911
  NPD Authorized official
• Jamie L Ziebarth, PHARM D

  • Pharmacist
  • Turtle Lake, ND
  • NPI 1336421551
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1780699314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "585750070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "58575",
            "telephone_number": "701-448-2542",
            "fax_number": "701-448-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE LAKE REXALL DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MALZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-448-2542",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20154",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TURTLE LAKE REXALL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Alexius Medical Center (CHI St. Alexius Health)
• Kimberly K Sundquist
• Carrie Lynn Thompson Widmer, LCSW
• Amanda Troyna
• Turtle Lake Ambulance Service, Inc
• Turtle Lake Rural Ambulance District
• Susan Wardner, FNP
• Jakob RM Zerr, DDS
• Jamie L Ziebarth, PHARM D

• Community/Retail Pharmacy in Turtle Lake, ND
• Providers in Turtle Lake, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.