Fosston Pharmacy & Gifts Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

260449 Issued in MN

Legal business name

FOSSTON PHARMACY & GIFTS INC

Doing business as

Nords Pharmacy and Gifts

Practice address

115 Johnson Ave N
Fosston, MN 56542-1327

Phone

(218) 435-6646

Fax

(218) 435-6493

NPI assigned

Jul 22, 2006

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth E Fonder, PHARM DNPI 1841717758

Title

President

Phone

(218) 435-6646

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• NORDS PHARMACY AND GIFTS Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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.

• Ruth Elizabeth Fonder, PHARM D.

  • Pharmacist
  • Fosston, MN
  • NPI 1841717758
  NPD Authorized official
• Carl George Baumann Jr., RPH

  • Pharmacist
  • Fosston, MN
  • NPI 1760072425
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1942221999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JOHNSON AVE N",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421327",
            "telephone_number": "218-435-6646",
            "fax_number": "218-435-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JOHNSON AVE N",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421327",
            "telephone_number": "218-435-6646",
            "fax_number": "218-435-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSSTON PHARMACY & GIFTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "FONDER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-435-6646",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260449",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21223",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942221999",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2044222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORDS PHARMACY AND GIFTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Follis, ATC, ATR
• Ruth Elizabeth Fonder, PHARM D.
• Fosston Chiropractic Clinic, P.a.
• Fosston Family Dental Inc.
• Fosston Long Term Care Pharmacy, Inc (Nord's Long Term Care Pharmacy)
• Jennifer Francis, ATC
• Karissa Goetsch, DDS
• Camille J Hagen, RD,LD
• David E. Halvorson
• Headwaters Health PC

• Community/Retail Pharmacy in Fosston, MN
• Providers in Fosston, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.