Prosperity Health Pharmacy, PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PROSPERITY HEALTH PHARMACY, PLLC

Practice address

5180 Prosperity Way S Ste 106
Fargo, ND 58104-7568

Phone

(701) 866-3920

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Virginia Howe, PHARM.D.

Title

Pharmacist

Phone

(701) 866-3920

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia Howe Ackerson, PHARM.D.

  • Pharmacist
  • Fargo, ND
  • NPI 1326589250
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1992345391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 PROSPERITY WAY S STE 106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047568",
            "telephone_number": "701-951-7979",
            "fax_number": "701-561-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 PROSPERITY WAY S STE 106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047568",
            "telephone_number": "701-866-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HEALTH PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "701-866-3920",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fargo, ND
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.