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CLINIC PHARMACY
NPI 1013029024
Pharmacy - Community/Retail Pharmacy in Dickinson, ND

Active since August 31, 2006CLIA 35D2221873 · Waiver
2615 FAIRWAY ST, DICKINSON, ND 58601(701) 483-4401(701) 483-4404 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2017, Aug 10, 2016, Mar 30, 2016 (3 updates tracked since 2016).

About Clinic Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINIC PHARMACY (NPI 1013029024) is a healthcare organization registered as a community/retail pharmacy in Dickinson, North Dakota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Brandi Ollerman, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1013029024
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLINIC PHARMACY INC
Location Address2615 FAIRWAY STDickinson, ND 58601-2590
Mailing Address2615 Fairway StDickinson, ND 58601-2590 · (701) 483-4401 · Fax (701) 483-4404
Phone(701) 483-4401
Fax(701) 483-4404
Organization SubpartNo
Authorized OfficialBrandi OllermanPharmacist/owner · (701) 227-8265
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 30, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1013029024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ND · PHAR86
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
2615 FAIRWAY ST, Dickinson, ND 58601
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Other Names 1

Doing Business AsClinic Pharmacy

Other Identifiers 1

Other2139892Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2221873

Clinic Pharmacy Inc · Dickinson, ND
Active · expires Apr 25, 2027
CLIA Number35D2221873
Laboratory TypePharmacy
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorBrandi Ollerman
Laboratory Phone(701) 483-4401
Laboratory LocationClinic Pharmacy Inc2615 Faurway St, Dickinson, ND 58601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Clinic Pharmacy carries, from the Medicare DMEPOS supplier directory.

Clinic Pharmacy

DMEPOS supplier · Dickinson, NDOperated by Clinic Pharmacy Inc
✔

Accepts Medicare assignment

Clinic Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20652965
Medicare Participant SinceJanuary 1, 1998
Supplier Location2615 Fairway StDickinson, ND 58601
Phone(701) 483-4401
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. YESENIA PEREZ M.A. CCC-SLP
Speech-Language Pathologist
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
LAUREN O'CONNELL OTD, OTR/L
Occupational Therapist
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6271
LARISSA ANN KOHLER PA-C
Physician Assistant
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
CHANDRA JO URLACHER FNP-C
Nurse Practitioner (Family)
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
KELSEY VIOLET LUCE PA-C
Physician Assistant
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
JAMIE WEHRUNG RRT, CPFT, AE-C
Respiratory Therapist, Registered
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
APRIL BERGER FNP-C
Nurse Practitioner (Family)
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
ERICA WALD
Nurse Practitioner
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinic Pharmacy Inc's NPI number?

The NPI number for Clinic Pharmacy Inc is 1013029024. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Clinic Pharmacy.

Where is Clinic Pharmacy Inc located?

Clinic Pharmacy Inc is located at 2615 Fairway St, Dickinson, ND 58601. The listed phone number is (701) 483-4401.

What is Clinic Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Clinic Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Clinic Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Clinic Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2221873) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinic Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Clinic Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinic Pharmacy Inc was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.