Active NPI
Taylor Fiske
- Pharmacist
- Fargo, ND
National Provider Identifier
1972259026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5950
- Practice address
- 1605 University Dr S
Fargo, ND 58103-4189 - Phone
- (701) 293-3060
- NPI assigned
- Feb 28, 2022
- Last updated
- Feb 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH5950 | ND | MD | Pharmacist |
Practice roles
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.