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NPI 1992465306ActiveOrganization· Pharmacy, Clinic Pharmacy· Fargo, ND

Pharmacy, Clinic Pharmacy in Fargo, North Dakota, registered in NPPES in December 2021. The authorized official on file is Jimmy Thomas, Ceo.

Overview

NPI1992465306
StatusActive
Entity typeOrganization
NPI issuedDec 27, 2021
Last updated in NPPESDec 27, 2021
Certified by providerDec 27, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Clinic Pharmacy Primary3336C0002X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy, Clinic Pharmacy providers in Fargo

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