DAKOTA CLINIC PHARMACY LLC
NPI 1154332716
Pharmacy - Community/Retail Pharmacy in Fargo, ND

Q: What is Dakota Clinic Pharmacy LLC's NPI number?

The NPI number for Dakota Clinic Pharmacy LLC is 1154332716. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Dakota Clinic Pharmacy On Su Drive.

Q: What is Dakota Clinic Pharmacy LLC's specialty?

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

Active since August 10, 2006CLIA 35D2315468 · Waiver

1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3450(701) 364-3382 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dakota Clinic Pharmacy Llc NPPES

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

DAKOTA CLINIC PHARMACY LLC (NPI 1154332716), doing business as Dakota Clinic Pharmacy On Su Drive, is a healthcare organization registered as a community/retail pharmacy in Fargo, North Dakota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Laura Morris, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1154332716

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameDAKOTA CLINIC PHARMACY LLC

Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940

Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 364-3450 · Fax (701) 364-3382

Phone(701) 364-3450

Fax(701) 364-3382

Organization SubpartNo

Authorized OfficialLaura MorrisOwner/pharmacist · (701) 364-3450

Enumeration DateAugust 10, 2006

Last NPPES UpdateAugust 29, 2025

NPPES CertifiedAugust 29, 2025

✔ NPI 1154332716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in ND · PHAR114

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

1702 UNIVERSITY DR S, Fargo, ND 58103

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Other Names 1

Doing Business AsDakota Clinic Pharmacy On Su Drive

Other Identifiers 3

Medicaid1463633ND

Other2119915Pk

Medicaid483058000MN

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 35D2315468

Dakota Clinic Pharmacy · Fargo, ND

Active · expires Dec 11, 2026

CLIA Number35D2315468

Laboratory TypePharmacy

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorLaura J. Morris

Laboratory Phone(701) 364-3450

Laboratory LocationDakota Clinic Pharmacy1702 S Univeristy Dr, Fargo, ND 58103

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

176 services174 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

103 services101 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

61 services61 patients

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.

BANGALORE S VIJAYALAKSHMI MD

Physical Medicine & Rehabilitation