Individual provider Active NPI

Taylor Fiske

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1972259026
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH5950 Issued in ND
Practice address
1605 University Dr S
Fargo, ND 58103-4189
Phone
(701) 293-3060
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH5950 ND Primary

Addresses

Primary practice location

1605 University Dr S
Fargo, ND 58103-4189

Mailing address

7054 26TH St S
Fargo, ND 58104-7199
Phone (701) 429-4097

Other practice location 1

4476 31st Ave S Unit 105
Fargo, ND 58104-4532
Phone (701) 639-6969

Other practice location 2

2800 Broadway N
Fargo, ND 58102-1420
Phone (701) 293-0221

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA

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

State licenses

LicenseStateTypeSpecialty
RPH5950NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
W W Inc PastSince Mar 6, 2022 Accepting new patients
WW Inc PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1972259026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7054 26TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047199",
            "telephone_number": "701-429-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034189",
            "telephone_number": "701-293-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4476 31st Ave S Unit 105",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581044532",
            "country_code": "US",
            "telephone_number": "701-639-6969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581021420",
            "country_code": "US",
            "telephone_number": "701-293-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISKE",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1605 University Dr S",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581034154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "4476 31st Ave S Unit 105",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581044532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2800 Broadway N",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581021420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.