Mandy Binstock, PHARM D
Individual provider Active NPI Pharmacist · Lisbon, ND
NPI 1942500905 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1942500905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5296 (ND)
- Practice address
- 1600 Veterans Dr
Lisbon, ND 58054-4801 - Phone
- (701) 683-6514
- NPI assigned
- Oct 25, 2010
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5296 | ND | MD | Case Manager/Care Coordinator |
| 5790 | SD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5296 | ND | Yes |
| Pharmacist | 183500000X | 5790 | SD |
Addresses
Primary practice location
1600 Veterans Dr
Lisbon, ND 58054-4801
Mailing address
PO Box 673
Lisbon, ND 58054-0673
Other providers in Lisbon, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2014. 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.