SANFORD MEDICAL CENTER FARGO
NPI 1174120281
Pharmacy in Fargo, ND
NPI Status: Active since October 02, 2020
Contact Information
5225 23RD AVE S
FARGO, ND
ZIP 58104
Phone: (701) 417-2340
Fax: (701) 234-7476
- Organization
- Pharmacy
- CLIA Number: 35D2124574
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-24-2028
About SANFORD MEDICAL CENTER FARGO
This page provides the complete NPI Profile along with additional information for Sanford Medical Center Fargo, a provider established in Fargo, North Dakota operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1174120281 assigned on October 2020. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)
- NPI
- 1174120281
- Provider Name
- SANFORD MEDICAL CENTER FARGO
- Entity Type
- Organization
- Location Address
- 5225 23RD AVE S FARGO, ND 58104
- Location Phone
- (701) 417-2340
- Location Fax
- (701) 234-7476
- Mailing Address
- 5225 23RD AVE S FARGO, ND 58104
- Mailing Phone
- (701) 234-2121
- Mailing Fax
- (701) 234-7476
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-02-2020
- Last Update Date
- 10-02-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 35D2124574
- Facility Type
- Hospital
- Certificate Effective Date
- April 25, 2026
- Certificate Expiration Date
- April 24, 2028
- Laboratory Director
- DR. ANIL CHOKKALLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sanford Medical Center Fargo on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174120281, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FARGO, ND 58104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174120281, enumerated as an "organization" on October 02, 2020.
The provider is located at 5225 23RD AVE S FARGO, ND 58104 and the phone number is (701) 417-2340.
Pharmacy with taxonomy code 333600000X.
