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WHITE DRUG CO OF JAMESTOWN INC NPI 1689763294


NPI Information

NPI: 1689763294
Provider Name: WHITE DRUG CO OF JAMESTOWN INC

Doing Business As: WHITE DRUG #009

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 35D2042851

Address:
2475 32ND AVE S
STE 1
GRAND FORKS, ND
ZIP 58201
Phone: (701) 775-4209
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WHITE DRUG CO OF JAMESTOWN INC is a community/retail pharmacy pharmacy in Grand Forks, 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. WHITE DRUG CO OF JAMESTOWN INC NPI is 1689763294. The provider is registered as an organization entity type.
The provider Is Doing Business As White Drug #009.

The provider's business location address is:

2475 32ND AVE S
STE 1
GRAND FORKS, ND
ZIP 58201-606
Phone: (701) 775-4209
Fax: (701) 775-9122

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 CLIA number assigned to this NPI record is 35D2042851 - pharmacy with a certificate type of Certificate of Waiver.

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 SuppliesPHAR72NORTH DAKOTANo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy263433MINNESOTAYes

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
11455443 RXMEDICAIDNORTH DAKOTA
22070741OTHERPK
38531130MEDICAIDSOUTH DAKOTA
41456945 DMEMEDICAIDNORTH DAKOTA
51689763294MEDICAIDMINNESOTA

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.