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: July 19, 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
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

Other Names 1

Doing Business AsClinic Pharmacy

Other Identifiers 1

Other2139892Pk

Accepted 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

The provider carries the following medical supplies product categories:

PTAN
20652965
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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

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.

Surgery
2615 FAIRWAY ST
DICKINSON, ND 58601
Obstetrics & Gynecology
2615 FAIRWAY ST
DICKINSON, ND 58601
Specialist/Technologist (Athletic Trainer)
2615 FAIRWAY ST
DICKINSON, ND 58601
Student in an Organized Health Care Education/Training Program
2615 FAIRWAY ST
DICKINSON, ND 58601
Nurse Practitioner (Pediatrics)
2615 FAIRWAY ST
DICKINSON, ND 58601
Physician Assistant
2615 FAIRWAY ST
DICKINSON, ND 58601
Podiatrist (Foot & Ankle Surgery)
2615 FAIRWAY ST
DICKINSON, ND 58601
Nurse Practitioner (Family)
2615 FAIRWAY ST
DICKINSON, ND 58601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013029024, enumerated as an "organization" on August 31, 2006.

The provider is located at 2615 FAIRWAY ST DICKINSON, ND 58601 and the phone number is (701) 483-4401.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.