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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
116 | ND | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2071244 | 01 | |
MN | 1740130 | 05 | |
ND | 1170540 | 05 |
Other Name | Type Code |
---|---|
UNIVERSITY OF NORTH DAKOTA STUDENT HEALTH PHARMACY | Doing Business As Name - Organization |
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 |
Street Address |
2891 2ND AVE N STOP 9038 MCCANNEL HALL RM 100 |
City | GRAND FORKS |
State | ND |
Zip Code | 58202-9038 |
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 |
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 Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
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] |
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 |
City | GRAND FORKS |
Zip Code | 58202 |
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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.