Active NPI
Grand Forks Clinic Pharmacy
- Community/Retail Pharmacy
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 46
- Legal business name
- GRAND FORKS CLINIC PHARMACY
- Practice address
- 1000 S Columbia Rd
Grand Forks, ND 58201-4032 - Phone
- (701) 772-4875
- Fax
- (701) 780-6577
- NPI assigned
- Jul 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven G Finstrom
- Title
- Manager
- Phone
- (701) 772-4875
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 46 | ND | Primary |
Addresses
Primary practice location
1000 S Columbia Rd
Grand Forks, ND 58201-4032
Mailing address
1000 S Columbia Rd
P.O. Box 13115
Grand Forks, ND 58201-4032
Phone (701) 772-4875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20066 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Grand Forks, ND
- NPI 1881625093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962436113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S COLUMBIA RD",
"address_2": "P.O. BOX 13115",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014032",
"telephone_number": "701-772-4875",
"fax_number": "701-780-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014032",
"telephone_number": "701-772-4875",
"fax_number": "701-780-6577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND FORKS CLINIC PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FINSTROM",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "701-772-4875",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ND",
"license": "46",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20066",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
- Madeline C Graff, MOTR/L
- Korie Graham, COTA
- Grand Forks Anesthesia Associates
- Grand Forks Anesthesia Services PC
- Grand Forks Chiropractic
- Grand Forks Counseling and Therapy PLLC
- Grand Forks County Social Services
- Grand Forks Foot and Ankle Clinic, PLLC
- Grand Forks Growth and Support Center
- Grand Forks Head Start
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.