SANFORD PHARMACY MOORHEAD
NPI 1124122783
Pharmacy - Clinic Pharmacy in Moorhead, MN

Active since September 12, 2006
4000 28TH AVE S, MOORHEAD, MN 56560(701) 234-3250 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Jun 29, 2020, May 14, 2018 (3 updates tracked since 2018).

About Sanford Pharmacy Moorhead NPPES

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

SANFORD PHARMACY MOORHEAD (NPI 1124122783) is a healthcare organization registered as a clinic pharmacy in Moorhead, Minnesota and active in the NPI registry since September 2006. The organization lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1124122783
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameSANFORD MEDICAL CENTER FARGO
Location Address4000 28TH AVE SMoorhead, MN 56560
Mailing Address4000 28th Ave SMoorhead, MN 56560-7926 · (701) 234-2121
Organization SubpartNo
Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380
Enumeration DateSeptember 12, 2006
Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
NPI 1124122783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in MN · 2602723
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 2602723 (MN)
4000 28TH AVE S, Moorhead, MN 56560

Other Names 1

Doing Business AsSanford Pharmacy Moorhead

Other Identifiers 4

Medicaid1124122783MN
Other24-17081Ncpdp
Medicaid21559ND
Other82-00338Medica

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 5

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

Sanford Pharmacy Moorhead

DMEPOS supplier · Moorhead, MNOperated by Sanford Medical Center Fargo

Accepts Medicare assignment

Sanford Pharmacy Moorhead 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)34357760
Medicare Participant SinceJanuary 1, 1998
Supplier Location4000 28th Ave SMoorhead, MN 56560
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
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
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.

Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner (Psychiatric/Mental Health)
4000 28TH AVE S
MOORHEAD, MN 56560
Family Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Counselor
4000 28TH AVE S
MOORHEAD, MN 56560
Pediatrics
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Internal Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560

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 Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1124122783. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as Sanford Pharmacy Moorhead.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 4000 28th Ave S, Moorhead, MN 56560. The listed phone number is (701) 234-3250.

What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Sanford Medical Center Fargo accept Medicare assignment for medical equipment?

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

What insurance does Sanford Medical Center Fargo 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 49 other insurers list Sanford Medical Center Fargo 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 Sanford Medical Center Fargo was last updated on December 12, 2023. 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.