Organization Active NPI

Central Avenue Pharmacy, Inc

Doing business as Central Avenue Health Mart Pharmacy

  • Long Term Care Pharmacy
  • Valley City, ND
National Provider Identifier
1932628633
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHAR164 Issued in ND
Legal business name
CENTRAL AVENUE PHARMACY, INC
Doing business as
Central Avenue Health Mart Pharmacy
Central Avenue Pharmacy
Practice address
234 Central Ave N
Valley City, ND 58072-2951
Phone
(701) 845-5280
Fax
(701) 845-1847
NPI assigned
Sep 13, 2017
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Matthew PerkinsNPI 1154675361
Title
Owner/President
Phone
(701) 252-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PHAR164 ND Primary

Addresses

Primary practice location

234 Central Ave N
Valley City, ND 58072-2951

Mailing address

234 Central Ave N
Valley City, ND 58072-2951
Phone (701) 845-5280

Other identifiers 1

IdentifierTypeStateIssuer
21025MedicaidND

Other names 2

  • Central Avenue Health Mart Pharmacy Doing business as
  • Central Avenue Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

234 Central Ave N
Valley City, ND 58072
Phone (701) 845-2652

323 Central Ave N
Ste 101
Valley City, ND 58072
Phone (701) 845-5280

Practitioners & affiliated clinicians

Practitioners 2

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1932628633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CENTRAL AVE N",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722951",
            "telephone_number": "701-845-5280",
            "fax_number": "701-845-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CENTRAL AVE N",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722951",
            "telephone_number": "701-845-5280",
            "fax_number": "701-845-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AVENUE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "701-252-3002"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ND",
            "license": "PHAR164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21025",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Avenue Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.