SANFORD MEDICAL CENTER FARGO
NPI 1174120281
Pharmacy in Fargo, ND

Q: What is Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1174120281. It was assigned to this organization in the NPPES registry on October 2, 2020. The provider is doing business as Sanford Pharmacy I94 340B.

Q: What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since October 02, 2020CLIA 35D2124574 · Accreditation

5225 23RD AVE S, FARGO, ND 58104(701) 417-2340(701) 234-7476 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sanford Medical Center Fargo NPPES

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

SANFORD MEDICAL CENTER FARGO (NPI 1174120281), doing business as Sanford Pharmacy I94 340b, is a healthcare organization registered as a pharmacy in Fargo, North Dakota and active in the NPI registry since October 2020. The organization holds an CLIA Accreditation certificate valid through April 24, 2028 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1174120281

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSANFORD MEDICAL CENTER FARGO

Location Address5225 23RD AVE SFargo, ND 58104-7927

Mailing Address5225 23rd Ave SFargo, ND 58104-7927 · (701) 234-2121 · Fax (701) 234-7476

Phone(701) 417-2340

Fax(701) 234-7476

Organization SubpartYes

Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380

Enumeration DateOctober 2, 2020

NPPES CertifiedSeptember 29, 2020

✔ NPI 1174120281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

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.

5225 23RD AVE S, Fargo, ND 58104

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Other Names 1

Doing Business AsSanford Pharmacy I94 340b

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 Accreditation 35D2124574

Sanford Medical Center Fargo Point Of Care Testing · Fargo, ND

Active · expires Apr 24, 2028

CLIA Number35D2124574

Laboratory TypeHospital

Certificate Effective DateApril 25, 2026

Certificate Expiration DateApril 24, 2028

Laboratory DirectorDr. Anil Chokkalla

Laboratory Phone(701) 234-2481

Laboratory LocationSanford Medical Center Fargo Point Of Care Testing5225 23rd Ave S, Fargo, ND 58104

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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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.

DANIEL GREGORY FALVEY M.D.

Emergency Medicine