Provider Type Icon

HOLIDAY PROFESSIONAL PHARMACY INC. NPI 1922000108


NPI Information

NPI: 1922000108
Provider Name: HOLIDAY PROFESSIONAL PHARMACY INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1140 E BISMARCK EXPY
BISMARCK, ND
ZIP 58504
Phone: (701) 255-7220
Get Directions

HOLIDAY PROFESSIONAL PHARMACY INC. is a pharmacy in Bismarck, ND. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HOLIDAY PROFESSIONAL PHARMACY INC. NPI is 1922000108. The provider is registered as an organization entity type.

The provider's business location address is:

1140 E BISMARCK EXPY
BISMARCK, ND
ZIP 58504-603
Phone: (701) 255-7220
Fax: (701) 255-6029

The provider's authorized official is Jerry Rixen .
The authorized official title is Owner and has the following contact phone number (701) 255-7220.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 8/22/2020.


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
1333600000XPharmacy100NORTH 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
120680MEDICAIDNORTH 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.