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WHITE DRUG CO OF JAMESTOWN INC NPI 1114016722


NPI Information

NPI: 1114016722
Provider Name: WHITE DRUG CO OF JAMESTOWN INC

Doing Business As: WHITE DRUG #52

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
706 38TH ST NW
SUITE B
FARGO, ND
ZIP 58102
Phone: (701) 893-9217
Get Directions

WHITE DRUG CO OF JAMESTOWN INC is a long term care pharmacy pharmacy in Fargo, ND. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WHITE DRUG CO OF JAMESTOWN INC NPI is 1114016722. The provider is registered as an organization entity type.
The provider Is Doing Business As White Drug #52.

The provider's business location address is:

706 38TH ST NW
SUITE B
FARGO, ND
ZIP 58102-953
Phone: (701) 893-9217
Fax: (701) 893-9223

The provider's authorized official is Anne Froistad .
The authorized official title is Licensing Coordinator and has the following contact phone number (763) 513-4377.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies261962MINNESOTANo
2333600000XPharmacyPHAR473NORTH DAKOTANo
33336H0001XPharmacyHome Infusion Therapy Pharmacy400-1115SOUTH DAKOTANo
43336S0011XPharmacySpecialty Pharmacy63-43WISCONSINNo
53336L0003XPharmacyLong Term Care Pharmacy3721IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1156662800MEDICAIDMINNESOTA
22071496OTHERPK
31455897 DMEMEDICAIDNORTH DAKOTA
41455576 RXMEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.