Organization Active NPI

Walls LTC Pharmacy Inc

  • Long Term Care Pharmacy
  • Grand Forks, ND
National Provider Identifier
1982927406
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WALLS LTC PHARMACY INC
Practice address
1322 8TH Ave S
Grand Forks, ND 58201
Phone
(701) 738-0804
Fax
(701) 738-0406
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Leslie Satterlund, RPH
Title
Owner/Secretary
Phone
(701) 738-0804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1322 8TH Ave S
Grand Forks, ND 58201

Mailing address

1322 8TH Ave S
Grand Forks, ND 58201-4354
Phone (701) 738-0804

Other identifiers 4

IdentifierTypeStateIssuer
198282746MedicaidMN
1456006MedicaidND
961OtherNDSTATE PHARMACY LISCENCE
263545OtherMNMINNESOTA STATE LISC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000444 ND DME Supplier - Pharmacy 8921280215 Practice locations: Grand Forks, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Walls LTC Pharmacy1322 8TH Ave S, Grand Forks, ND 58201(701) 738-0804 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2020

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1322 8th Ave S
Grand Forks, ND 58201
Phone (701) 738-0804

1020 S Washington St
Grand Forks, ND 58201
Phone (701) 738-0804

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1982927406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 8TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014354",
            "telephone_number": "701-738-0804",
            "fax_number": "701-738-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 8TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-738-0804",
            "fax_number": "701-738-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLS LTC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "SATTERLUND",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "701-738-0804",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198282746",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456006",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LISCENCE",
            "identifier": "961",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA STATE LISC",
            "identifier": "263545",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.