White Drug Company Of Jamestown, Inc, NPI 1003906942
Long Term Care Pharmacy in Fargo, ND, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1003906942 |
| NPI Entity Type | Organization |
| Provider Name |
White Drug Company Of Jamestown, Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 706 38th St N, Unit A, Fargo, ND, US |
| Provider Mailing Address | 6055 Nathan Ln N, Suite 200, Plymouth, MN, US, 554421674 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Anne Froistad |
| Official Position | LICENSING COORDINATOR |
| Phone | 763-513-4377 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Long Term Care Pharmacy |
| Classification | |
| Group | |
| License No. | 1409 |
| License State | AK |
| Description | A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| A9-0001464 | DE | No | |||
| PHNR001011 | GA | No | |||
| NRX0000521 | DC | No | |||
| PCN.0002714 | CT | No | |||
| 22-44533 | KS | No | |||
| 27263 | FL | No | |||
| 054.018687 | IL | No | |||
| PMP-987 | HI | No | |||
| OSP.0006440 | CO | No | |||
| NRP1463 | CA | No | |||
| ND1839 | KY | No | |||
| 3722 | IA | No | |||
| 64001649A | IN | No | |||
| 35705MS | ID | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1460158 DME | ND | MEDICAID | 05 |
| 2071512 | PK | 01 | |
| 1455652 RX | ND | MEDICAID | 05 |
| 924692000 | MN | MEDICAID | 05 |
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