Organization Active NPI

Sanger Inc

Doing business as Medical Pharmacy-West

  • Community/Retail Pharmacy
  • Fargo, ND
National Provider Identifier
1891855326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
146 Issued in ND
Legal business name
SANGER INC
Doing business as
Medical Pharmacy-West
Practice address
4101 13TH Ave S
Fargo, ND 58103-3342
Phone
(701) 282-6510
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John T. Sanger, R.PH
Title
President
Phone
(701) 282-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 146 ND Primary

Addresses

Primary practice location

4101 13TH Ave S
Fargo, ND 58103-3342

Mailing address

4101 13TH Ave S
Fargo, ND 58103-3342
Phone (701) 282-6510

Other identifiers 3

IdentifierTypeStateIssuer
21051MedicaidND
146OtherNDSTATE BD OF PHARM #
3503340OtherNAT'L ASS'N OF BD OF PHAR

Other names 1

  • Medical Pharmacy-West Doing business as

National Provider Directory

National Provider Directory

Locations

4101 13th Ave S
Fargo, ND 58103
Phone (701) 212-9178

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891855326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033342",
            "telephone_number": "701-282-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033342",
            "telephone_number": "701-282-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-282-6510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21051",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BD OF PHARM #",
            "identifier": "146",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT'L ASS'N OF BD OF PHAR",
            "identifier": "3503340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Pharmacy-West",
            "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 Aug 22, 2020; 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.