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JKRX INC NPI 1851485262


NPI Information

NPI: 1851485262
Provider Name: JKRX INC

Doing Business As: MEDICINE SHOPPE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 35D1000972

Address:
1304 E BOULEVARD AVE
BISMARCK, ND
ZIP 58501
Phone: (701) 224-0175
Get Directions

JKRX INC 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. JKRX INC NPI is 1851485262. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

1304 E BOULEVARD AVE
BISMARCK, ND
ZIP 58501-234
Phone: (701) 224-0175
Fax: (701) 224-1285

The provider's authorized official is Jodi Gader .
The authorized official title is Owner and has the following contact phone number (701) 224-0175.

The CLIA number assigned to this NPI record is 35D1000972 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/4/2010.


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
23336C0003XPharmacyCommunity/Retail Pharmacy761NORTH 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
15898530001MEDICARE NSCNORTH DAKOTA
2000021486MEDICAIDNORTH DAKOTA
3712522MEDICARE PINNORTH DAKOTA
43502730OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5FJ0177421OTHERNORTH DAKOTADEA

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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