NORTH DAKOTA STATE UNIVERSITY NPI 1811939416

NPI Information

NPI: 1811939416
Provider Name: NORTH DAKOTA STATE UNIVERSITY
Classification: Pharmacy - 3336C0002X
Specialization: Clinic Pharmacy
Entity Type: Organization
Doing Business As: NDSU STUDENT HEALTH SERVICE PHARMACY
CLIA Number: 35D0041738
Address: 1707 CENTENNIAL BLVD
FARGO, ND
ZIP 58102
Phone: (701) 231-7332

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NPI Details

NORTH DAKOTA STATE UNIVERSITY is a clinic pharmacy pharmacy in Fargo, ND. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. NORTH DAKOTA STATE UNIVERSITY NPI is 1811939416. The provider is registered as an organization entity type.
The provider Is Doing Business As Ndsu Student Health Service Pharmacy.

The provider's business location address is:

1707 CENTENNIAL BLVD
FARGO, ND
ZIP 58102
Phone: (701) 231-7332
Fax: (701) 231-6132

The provider's authorized official is Alicia Fitz .
The authorized official title is Pharmacist In Charge and has the following contact phone number (701) 231-7332.

The CLIA number assigned to this NPI record is 35D0041738 - school/student health service with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 6/12/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	PHAR168	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2070818	OTHER		PK
2	21162ND	MEDICAID	NORTH 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: 11/21/2025

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