WHITE DRUG CO OF JAMESTOWN INC NPI 1477997005

NPI Details

WHITE DRUG CO OF JAMESTOWN INC is a community/retail pharmacy pharmacy in Wahpeton, 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 1477997005. The provider is registered as an organization entity type.
The provider Is Doing Business As Thrifty White Pharmacy #75.

The provider's business location address is:

387 11TH ST S OFC 2
WAHPETON, ND
ZIP 58075-677
Phone: (701) 642-2336
Fax: (701) 642-1470

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 35D0992758 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)

The enumeration date for this NPI number is 4/25/2013 and was last updated on 10/29/2024.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.