| NPI | 1215063409 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-02-24 |
| Last Updated | 2017-02-20 |
| Authorized Official | Sheila Nudell PRESIDENT AND MANAGER Phone: 2182337365 |
| Mailing Address | 101 11th St S Moorhead, MN 56560-2899 United States Phone: (218) 233-7365 | Fax: (218) 233-5702 📍 View Map |
| Primary Practice Address | 101 11th St S Moorhead, MN 56560-2899 United States Phone: (218) 233-7365 | Fax: (218) 233-5702 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | ND | 021062 | - |
| MEDICAID | MN | 066360300 | - |
| Other (non-Medicare) | - | 2046710 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MN | 260722 |
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About NPI 1215063409
Medical Pharmacy Moorhead Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1215063409. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Moorhead, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215063409?
NPI 1215063409 belongs to Medical Pharmacy Moorhead Inc, a Pharmacy, Community/Retail Pharmacy in Moorhead, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215063409 active?
The current status of NPI 1215063409 in the NPPES registry is Active. The record was last updated on 2017-02-20.
What specialty is NPI 1215063409?
NPI 1215063409 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215063409?
You can verify NPI 1215063409 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215063409?
The primary practice address on file for NPI 1215063409 is 101 11th St S, Moorhead, MN 56560-2899. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215063409 issued?
NPI 1215063409 was first issued (enumerated) on 2007-02-24. The NPPES record was last updated on 2017-02-20.
Practice Location Map
Medical Pharmacy Moorhead Inc is located at 101 11th St S, Moorhead, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Medical Pharmacy Moorhead Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1215063409. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 260722 | MN |