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WHITE DRUG CO OF JAMESTOWN INC NPI 1730369711


NPI Information

NPI: 1730369711
Provider Name: WHITE DRUG CO OF JAMESTOWN INC

Doing Business As: THRIFTY WHITE PHARMACY #068

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 35D2054515

Address:
4255 30TH AVE S
FARGO, ND
ZIP 58104
Phone: (701) 478-8953
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WHITE DRUG CO OF JAMESTOWN INC is a community/retail pharmacy pharmacy in Fargo, 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 1730369711. The provider is registered as an organization entity type.
The provider Is Doing Business As Thrifty White Pharmacy #068.

The provider's business location address is:

4255 30TH AVE S
FARGO, ND
ZIP 58104-427
Phone: (701) 478-8953
Fax: (701) 478-8954

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 35D2054515 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2007 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
13336L0003XPharmacyLong Term Care PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesPHAR702NORTH DAKOTANo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy264128MINNESOTAYes

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
12071622OTHERPK
21455675 RXMEDICAIDNORTH DAKOTA
31456217 DMEMEDICAIDNORTH DAKOTA
41730369711MEDICAIDMINNESOTA

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.