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FAMILY MEDICINE RESIDENCY PHARMACY
NPI 1144368085
Pharmacy - Clinic Pharmacy in Grand Forks, ND

Active since February 02, 2007
725 HAMLINE ST, GRAND FORKS, ND 58203(701) 780-6870(701) 780-6878 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Medicine Residency Pharmacy NPPES

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

FAMILY MEDICINE RESIDENCY PHARMACY (NPI 1144368085) is a healthcare organization registered as a clinic pharmacy in Grand Forks, North Dakota and active in the NPI registry since February 2007. The organization lists Derek Goebel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1144368085
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameALTRU HEALTH SYSTEM
Location Address725 HAMLINE STGrand Forks, ND 58203-2819
Mailing Address725 Hamline StGrand Forks, ND 58203-2819 · (701) 780-6870 · Fax (701) 780-6878
Phone(701) 780-6870
Fax(701) 780-6878
Organization SubpartNo
Authorized OfficialDerek GoebelChief Financial Officer · (701) 780-1470
Enumeration DateFebruary 2, 2007
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1144368085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in ND · PHAR477
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 ListedPharmacyTaxonomy 333600000X
725 HAMLINE ST, Grand Forks, ND 58203
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Other Names 1

Doing Business AsFamily Medicine Residency Pharmacy

Other Identifiers 3

Medicaid21082ND
Other2071404Pk
Medicaid574155600MN

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 ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Family Medicine Residency Pharmacy carries, from the Medicare DMEPOS supplier directory.

Family Medicine Residency Pharmacy

DMEPOS supplier · Grand Forks, NDOperated by Altru Health System
✔

Accepts Medicare assignment

Family Medicine Residency 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)20346815
Medicare Participant SinceOctober 29, 2022
Supplier Location725 Hamline StGrand Forks, ND 58203
Phone(701) 780-6800
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.

TAMIM KHROMACHOU MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6810
AMRINDER SINGH
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6810
ELISE DICK MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800
DR. A MARC NIELSEN MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800
THOMAS JAMES GANDER DO
Student in an Organized Health Care Education/Training Program
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800
MRS. JANA MARIE HANSON RPH
Pharmacist (Pharmacotherapy)
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6870
SHYLEEN HALL MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6814
VICTORIA GESKA MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800

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 Altru Health System's NPI number?

The NPI number for Altru Health System is 1144368085. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider is doing business as Family Medicine Residency Pharmacy.

Where is Altru Health System located?

Altru Health System is located at 725 Hamline St, Grand Forks, ND 58203. The listed phone number is (701) 780-6870.

What is Altru Health System's specialty?

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

Does Altru Health System accept Medicare assignment for medical equipment?

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

What insurance does Altru Health System 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 Altru Health System 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 Altru Health System was last updated on May 23, 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.