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THOMAS MOE NPI 1144231705


NPI Information

NPI: 1144231705
Provider Name: THOMAS MOE

Doing Business As: NORTHBROOK DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1929 N WASHINGTON ST
STE C
BISMARCK, ND
ZIP 58501
Phone: (701) 258-1412
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THOMAS MOE is a community/retail pharmacy pharmacy in Bismarck, ND. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. THOMAS MOE NPI is 1144231705. The provider is registered as an organization entity type.
The provider Is Doing Business As Northbrook Drug.

The provider's business location address is:

1929 N WASHINGTON ST
STE C
BISMARCK, ND
ZIP 58501-616
Phone: (701) 258-1412
Fax: (701) 258-1413

The provider's authorized official is Tom Moe .
The authorized official title is Owner and has the following contact phone number (701) 258-1412.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/1/2011.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy20NORTH DAKOTAYes

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
10707110001MEDICARE NSC
23502033OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
320617MEDICAIDNORTH 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

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