WESTERN DAKOTA PHARMACY, INC. (NPI# 1205923406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205923406 |
| Entity Type | Organization |
| Organization Name | WESTERN DAKOTA PHARMACY, INC. |
| Practice Address |
1102 Main St Williston ND 58801-4233 |
| Mailing Address |
Po Box 640 Williston ND 58802-0640 |
| Practice Telephone | 7015727797 |
| Practice Fax Number | 7015720937 |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GERALD GRATZ (PRESIDENT) |
| Authorized Official Telephone | 7015727797 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 51 | ND | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 20176 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3501930 | 01 |
| Street Address |
1102 MAIN ST |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902949845 | Trinity Health | Clinical Medical Laboratory | 1102 Main St, Williston, ND 58801-4233 | 2007-02-14 |
| 1861534919 | Karen M Liepke | Registered Nurse | 1102 Main St, Williston, ND 58801-4233 | 2007-02-13 |
| 1538214689 | Trinity Health | Clinic/Center | 1102 Main St, Williston, ND 58801-4233 | 2007-01-25 |
| 1518056548 | Dawn M Ledahl | Pharmacist | 1102 Main St, Williston, ND 58801-4233 | 2006-10-11 |
| 1396784146 | Trinity Health | Family Medicine | 1102 Main St, Williston, ND 58801-4233 | 2006-06-06 |
| 1629050141 | William D Oxner Rn PC | Nurse Anesthetist, Certified Registered | 1102 Main St, Williston, ND 58801-4233 | 2005-11-18 |
| 1396740460 | William D Oxner | Nurse Anesthetist, Certified Registered | 1102 Main St, Williston, ND 58801-4233 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558376152 | Nd Pharmacy Inc | Pharmacy | 20 26th St E, Williston, ND 58801-3046 | 2006-07-30 |
| 1851337349 | Rivers Pharmacy Inc | Pharmacy | 12927 Main St, Williston, SC 29853-2321 | 2006-06-21 |
| 1255753869 | Pharmacy Direct Delivery LLC | Pharmacy | 434 Hurricane Ln Ste 200, Williston, VT 05495-2073 | 2014-01-16 |
| 1508299272 | G&g Rx Inc | Pharmacy | 317 Main St, Williston, ND 58801-5303 | 2013-08-16 |
| 1912227398 | Urja Pharmacy Inc | Pharmacy | 219 S Main St, Williston, FL 32696-2657 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1508230814 | Horizon Pharmacy Inc | Pharmacy | 4535 Northern Sky Dr Ste 3, Bismarck, ND 58503-8539 | 2015-11-24 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1043504574 | Ollerman Inc | Pharmacy | 1571 W Villard St Ste 1, Dickinson, ND 58601-4656 | 2011-06-01 |
| 1669771523 | Dunseith Drug Inc | Pharmacy | 10 Main St Sw, Dunseith, ND 58329 | 2011-03-17 |
| 1336472505 | Midwest Drug Distribution Inc | Pharmacy | 4153 12 Th Ave. North Suite B, Fargo, ND 58102 | 2009-09-04 |
| 1982859617 | Neumann Drug Inc | Pharmacy | 412 Main Street - Box 459, Cando, ND 58324-0459 | 2008-11-21 |
| 1790941342 | Belcourt Drug Inc | Pharmacy | 1110 Hospital Rd #1 #80, Belcourt, ND 58316 | 2008-08-04 |
| 1427177617 | Drayton Drug Inc | Pharmacy | 106 North Main St, Drayton, ND 58225-0340 | 2007-03-28 |
| 1518098219 | Pharmacare Inc | Pharmacy | 2345 25th St S, Suite C, Fargo, ND 58103-6173 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.