NPIMap

Organization Active NPI

James River Correctional Center Pharmacy

  • Rehabilitation Hospital Unit
  • Jamestown, ND
National Provider Identifier
1811014160
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
584 Issued in ND
Legal business name
JAMES RIVER CORRECTIONAL CENTER PHARMACY
Practice address
2521 Circle Dr
Jamestown, ND 58401-6904
Phone
(701) 253-3612
Fax
(701) 253-3666
NPI assigned
Mar 23, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Kenneth P Johnson, R. PH.
Title
Pharmacist II
Phone
(701) 253-3612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 584 ND Primary

Addresses

Primary practice location

2521 Circle Dr
Jamestown, ND 58401-6904

Mailing address

2521 Circle Dr
Jamestown, ND 58401-6904
Phone (701) 253-3612

National Provider Directory

National Provider Directory
Tax ID family
Lake Region HSC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2521 Circle Dr
Jamestown, ND 58401
Phone (701) 253-3612

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1811014160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 CIRCLE DR",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016904",
            "telephone_number": "701-253-3612",
            "fax_number": "701-253-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 CIRCLE DR",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016904",
            "telephone_number": "701-253-3612",
            "fax_number": "701-253-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RIVER CORRECTIONAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST II",
        "authorized_official_telephone_number": "701-253-3612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "ND",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.