Individual provider Active NPI

Cindy Gietzen, R.PH.

  • Pharmacist
  • Bismarck, ND
National Provider Identifier
1962899724
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH4419 Issued in ND
Practice address
1929 N Washington St
Suite C
Bismarck, ND 58501-1616
Phone
(701) 258-1412
Fax
(701) 258-1413
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH4419 ND Primary

Addresses

Primary practice location

1929 N Washington St
Suite C
Bismarck, ND 58501-1616

Mailing address

1929 N Washington St
Suite C
Bismarck, ND 58501-1616
Phone (701) 258-1412

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH4419NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1962899724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST",
            "address_2": "SUITE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-258-1412",
            "fax_number": "701-258-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST",
            "address_2": "SUITE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-258-1412",
            "fax_number": "701-258-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIETZEN",
        "first_name": "CINDY",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH4419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.