Joellen M McGauvran, RPH
Individual provider Active NPI Pharmacist · Thompson, ND
NPI 1831796465 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1831796465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH4464 (ND)
- Practice address
- 526 Broadway St
Thompson, ND 58278-4312 - Phone
- (218) 779-6956
- NPI assigned
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH4464 | ND | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH4464 | ND | Yes |
Addresses
Primary practice location
526 Broadway St
Thompson, ND 58278-4312
Mailing address
526 Broadway St
Thompson, ND 58278-4312
Phone (218) 779-6956
Other providers in Thompson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.