Individual provider Active NPI

Brandi Lee Ollerman, PHARM.D

  • Pharmacist
  • Dickinson, ND
National Provider Identifier
1932134426
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5371 Issued in ND
Practice address
1571 W Villard St
Dickinson, ND 58601-4653
Phone
(701) 227-8265
Fax
(701) 227-8289
NPI assigned
Jul 12, 2006
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5397 MT
Pharmacist 183500000X 5371 ND Primary

Addresses

Primary practice location

1571 W Villard St
Dickinson, ND 58601-4653

Mailing address

344 6TH Ave E
Dickinson, ND 58601-4518
Phone (406) 599-5712

Other practice location 1

2615 Fairway St
Dickinson, ND 58601-2590
Phone (701) 483-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5371NDMDClinical Social Worker
5397MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Pharmacy Inc Current Accepting new patients
Ollerman Inc Current Accepting new patients
Clinic Pharmacy Inc Current Accepting new patients
LG Meadows Inc Past Accepting new patients

Locations

2615 Fairway St
Dickinson, ND 58601
Phone (701) 456-6000

431 W Villard St
Dickinson, ND 58601
Phone (701) 227-8265

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1932134426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 6TH AVE E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014518",
            "telephone_number": "406-599-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 W VILLARD ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014653",
            "telephone_number": "701-227-8265",
            "fax_number": "701-227-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Fairway St",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586012590",
            "country_code": "US",
            "telephone_number": "701-483-4401",
            "fax_number": "701-483-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLLERMAN",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "5397",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.