Organization Active NPI

Belcourt Drug Inc

  • Community/Retail Pharmacy
  • Belcourt, ND
National Provider Identifier
1790941342
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR544 Issued in ND
Legal business name
BELCOURT DRUG INC
Doing business as
Belcourt Drug Inc
Practice address
9775 Bia Road 9
Belcourt, ND 58316
Phone
(701) 477-0202
Fax
(701) 477-0205
NPI assigned
Aug 4, 2008
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Christi RondeauNPI 1326613407
Title
Owner
Phone
(701) 477-0202

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHAR544 ND Primary

Addresses

Primary practice location

9775 Bia Road 9
Belcourt, ND 58316

Mailing address

PO Box 80
Belcourt, ND 58316-0080
Phone (701) 477-0202

Other identifiers 2

IdentifierTypeStateIssuer
2116403OtherPK
1455600MedicaidND

Other names 1

  • BELCOURT DRUG INC Doing business as

National Provider Directory

National Provider Directory

Locations

9775 Bia Road 9
Belcourt, ND 58316
Phone (701) 477-0202

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1790941342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160080",
            "telephone_number": "701-477-0202",
            "fax_number": "701-477-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 BIA ROAD 9",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "58316",
            "telephone_number": "701-477-0202",
            "fax_number": "701-477-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELCOURT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "RONDEAU",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-477-0202"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116403",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455600",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELCOURT DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELCOURT DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belcourt, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.