ST ALEXIUS MEDICAL CENTER (NPI# 1336283928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336283928 |
| Entity Type | Organization |
| Organization Name | ST ALEXIUS MEDICAL CENTER |
| Other Organization Name | ST. ALEXIUS COMMUNITY PHARMACY |
| Practice Address |
900 E Broadway Avenue Bismarck ND 58501 |
| Practice Telephone | 7015306906 |
| Practice Fax Number | 7015308842 |
| Mailing Telephone | 7015306906 |
| Mailing Fax Number | 7015308842 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | RICK DETWILLER (PHARMACIST) |
| Authorized Official Telephone | 7015306926 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | Y |
| Parent Organization Name | ST ALEXIUS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
190 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | ND STATELICENSE | 190 | 01 |
| Other Name | Type Code |
|---|---|
| ST. ALEXIUS COMMUNITY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1437717576 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 921 W Interstate Ave, Bismarck, ND 58503-0955 | 2019-06-04 |
| 1417001751 | St Alexius Medical Center | Durable Medical Equipment & Medical Supplies | 3222 28th St Sw, Great Plains Health Company, Fargo, ND 58104-5183 | 2007-01-23 |
| 1770637936 | St Alexius Medical Center | Prosthetic/Orthotic Supplier | 400 Burdick Expy E Ste 201a, Great Plains Rehabilitation Services Minot, Minot, ND 58701-4769 | 2007-01-23 |
| 1538727441 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 4315 Ottawa St, Bismarck, ND 58503 | 2019-06-05 |
| Street Address |
900 E BROADWAY AVENUE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558348193 | Timothy M. Gold | Anesthesiology | 900 E Broadway Avenue, Bismarck, ND 58501-4520 | 2005-12-26 |
| 1669884920 | Morris O Duffy | Physician Assistant | 900 E Broadway Avenue, Bismarck, ND 58501-4520 | 2014-05-21 |
| 1750561759 | Nicole M Sebastian | Speech-Language Pathologist | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-11-07 |
| 1063556652 | Gloria D Wolf | Nurse Practitioner | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
| 1235273855 | Shelley Porter | Dietitian, Registered | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
| 1376687046 | Gary Ritter | Nurse Anesthetist, Certified Registered | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
| 1184760043 | Valentine Wangler | Social Worker | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-29 |
| 1598819856 | John J Hagan | Internal Medicine | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-23 |
| 1356495592 | Melissa Horner | Nurse Practitioner | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-23 |
| 1841343191 | Jerry R Town | Nurse Anesthetist, Certified Registered | 900 E Broadway Avenue, Bismarck, NC 58501 | 2007-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653155 | Frontier Pharmacy | Pharmacy | 104 Millenium Park Dr, Bismarck, AR 71929 | 2019-01-18 |
| 1528000718 | American Drug Stores Delaware LLC | Pharmacy | 525 S 3rd St, Bismarck, ND 58504-5524 | 2006-06-12 |
| 1922618289 | Bismarck Pharmacy LLC | Pharmacy | 1325 57th Ave Ne, Bismarck, ND 58503-6581 | 2020-08-03 |
| 1710501424 | Costco Wholesale Corporation | Pharmacy | 1325 57th Ave Ne, Bismarck, ND 58503-6581 | 2020-05-29 |
| 1447500566 | St. Alexius Medical Center Pharmacy | Pharmacy | 900 E Broadway Ave, Bismarck, ND 58506-5510 | 2012-09-17 |
| 1538428610 | University of North Dakota | Pharmacy | 701 E Rosser Ave, Bismarck, ND 58501-4461 | 2012-05-10 |
| 1548276371 | Heritage Pharmacy East, Inc | Pharmacy | 1000 E Rosser Ave, Bismarck, ND 58501-4512 | 2006-08-01 |
| 1548281736 | Heritage Pharmacy Inc | Pharmacy | 401 N 9th St, Bismarck, ND 58501-4530 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1912416876 | Lifescript Pharmacy Pllc | Pharmacy | 5670 38th Ave S Unit A, Fargo, ND 58104-9051 | 2017-09-23 |
| 1205231990 | N D Pharmacy Inc | Pharmacy | 1283 Roughrider Blvd, Dickinson, ND 58601-6780 | 2014-10-24 |
| 1063839496 | G & G Rx Inc | Pharmacy | 1500 14th Street West, Suite 150, Williston, ND 58801-5303 | 2014-03-24 |
| 1962706036 | Inhealth Specialty Pharmacy, Inc. | Pharmacy | 2345 25th St S Ste C, Fargo, ND 58103-6173 | 2011-01-05 |
| 1982826756 | Integrated Health Marketing LLC | Pharmacy | 5675 26th Ave S Ste 136a, Fargo, ND 58104-8975 | 2007-05-02 |
| 1689725434 | Tioga Drug Inc | Pharmacy | 106 N. Main St., Tioga, ND 58852 | 2007-01-16 |
| 1891855326 | Sanger Inc | Pharmacy | 4101 13th Ave S, Fargo, ND 58103-3342 | 2006-12-12 |
| 1457419962 | Johnson Drug Co | Pharmacy | 2522 N Broadway, Fargo, ND 58102 | 2006-12-05 |
| 1306931977 | B & E Pharmacy Services Inc | Pharmacy | 2015 Library Circle, Grand Forks, ND 58201 | 2006-10-03 |
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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.