UNIVERSITY OF NORTH DAKOTA


Address: 2891 2nd Ave N Stop 9038, Mccannel Hall Rm 100, Grand Forks, ND 58202-9038
Phone: 7017773965

UNIVERSITY OF NORTH DAKOTA (NPI# 1790762318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790762318
Entity Type Organization
Organization Name UNIVERSITY OF NORTH DAKOTA
Other Organization Name UNIVERSITY OF NORTH DAKOTA STUDENT HEALTH PHARMACY
Practice Address 2891 2nd Ave N Stop 9038
Mccannel Hall Rm 100
Grand Forks
ND 58202-9038
Mailing Address Mccannel Hall Rm 100
2891 2nd Ave N Stop 9038
Grand Forks
ND 58202
Practice Telephone 7017773965
Practice Fax Number 7017776129
Mailing Telephone 7017773965
Mailing Fax Number 7017776129
Enumeration Date 2005-12-23
Last Update Date 2017-04-28
Authorized Official Name COLLEEN CARLSON (PHARMACIST IN CHRGE)
Authorized Official Telephone 7017773965
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
116 ND Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2071244 01
MN 1740130 05
ND 1170540 05

Other Provider/Organization Names

Other Name Type Code
UNIVERSITY OF NORTH DAKOTA STUDENT HEALTH PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013032663 University of North Dakota Clinic/Center 501 N Columbia Rd Stop 9037, Room 5918 Medical School, Grand Forks, ND 58202-9037 2007-03-20
1619905528 University of North Dakota Family Medicine 701 E. Rosser Ave., Bismarck, ND 58501-4461 2006-06-29
1952969099 University of North Dakota Counselor 501 N Columbia Rd Stop 7132, Grand Forks, ND 58203-2817 2019-06-04
1538428610 University of North Dakota Pharmacy 701 E Rosser Ave, Bismarck, ND 58501-4461 2012-05-10
1649469255 University of North Dakota Clinic/Center 515 E Broadway Ave, Bismarck, ND 58501-4407 2007-10-19
1093910762 University of North Dakota Audiologist 290 Centennial Dr, Montgomery Hall Room 101, Grand Forks, ND 58202-6063 2007-06-20
1982734042 University of North Dakota Pharmacist 1201 11th Ave Sw, Minot, ND 58701-4207 2007-03-07
1215080437 University of North Dakota Clinic/Center 2751 2nd Ave N Stop 9013, Hyslop Sports Center Room 115, Grand Forks, ND 58202-9013 2007-01-19
1316008238 University of North Dakota Family Medicine 1201 11th Ave Sw, Minot, ND 58701-4207 2006-12-13

Office Location

Street Address 2891 2ND AVE N STOP 9038
MCCANNEL HALL RM 100
City GRAND FORKS
State ND
Zip Code 58202-9038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538576939 Student Health Service Clinic/Center 2891 2nd Ave N Stop 9038, Grand Forks, ND 58202-9038 2014-07-17
1407101066 Karina Wittmann Dietitian, Registered 2891 2nd Ave N Stop 9038, 100 Mccannel Hall, Grand Forks, ND 58202-9038 2012-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538541958 Matthew Cziep Surgery 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 2015-06-22
1306836937 Elizabeth Ann Tyree Physician Assistant 5th Avenue North and Harvard Streets, Grand Forks, ND 58202 2005-10-25
1962054171 Zachery Tyler Staskywicz Surgery University of North Dakota Smhs Department of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202 2019-07-09
1013390129 Seye Adekeye Surgery 501 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202 2015-07-07
1477894285 Eva Michelle Beeker Counselor Mccannel Hall Room 200, 2891 2nd Ave N Stop 9042, Grand Forks, ND 58202-0798 2013-03-05
1821509274 Anv Services LLC Clinic/Center 4201 James Ray Dr, Grand Forks, ND 58202-6026 2017-10-12
1558759308 Mayumi Ogino Specialist/Technologist 2751 2nd Ave N Rm 115, Mail Stop 9013, Grand Forks, ND 58202-6060 2015-01-02
1255732988 Alicia Champagne Specialist/Technologist 2751 2nd Ave N, Stop 9013, Grand Forks, ND 58202-6060 2014-09-12
1235764432 Mikala Jo Springer Student in an Organized Health Care Education/Training Program 2751 2nd Ave N, Grand Forks, ND 58202-6060 2020-03-08
1790341972 Katelynn Marie Kostelecky Physical Therapist 2751 2nd Ave N Rm 115, Grand Forks, ND 58202-6060 2019-05-14
Find all providers in zip 58202

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194805796 North Dakota State University Pharmacy 301 Np Avenue, Fargo, ND 58102 2006-10-17
1811939416 North Dakota State University Pharmacy 1707 Centennial Blvd, Fargo, ND 58102 2006-06-11
1972000768 North Dakota State University Pharmacy 4025 9th Ave S, Fargo, ND 58103-2101 2018-04-09
1265884308 Spirit Lake Tribe Pharmacy 3883 74th Ave Ne, Fort Totten, ND 58335 2016-07-12
1730307125 Trenton Indian Service Area Pharmacy 331 4th Ave E, Trenton, ND 58853-9998 2007-04-23
1639254113 Prescription Center Pharmacy Inc. Pharmacy 2701 13th Ave S, Fargo, ND 58103-3602 2006-10-25

Competitor

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City GRAND FORKS
Zip Code 58202

Improve Information

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Dataset Information

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.

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