1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Pharmacy
  6. NPI Profile

FAMILY HEALTHCARE PHARMACY, NDSU
NPI 1194805796
Pharmacy - Clinic Pharmacy in Fargo, ND

Active since October 17, 2006CLIA 35D1008813 · Waiver
301 NP AVENUE, FARGO, ND 58102(701) 271-1489 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Healthcare Pharmacy, Ndsu NPPES

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

FAMILY HEALTHCARE PHARMACY, NDSU (NPI 1194805796) is a healthcare organization registered as a clinic pharmacy in Fargo, North Dakota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Jennifer Iverson, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1194805796
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameNORTH DAKOTA STATE UNIVERSITY
Location Address301 NP AVENUEFargo, ND 58102
Mailing Address301 Np AvenueFargo, ND 58102 · (701) 271-1489 · Fax (701) 271-3345
Phone(701) 271-1489
Organization SubpartYes
Authorized OfficialJennifer IversonPharmacist In Charge · (701) 271-6383
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1194805796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in ND · 117
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.
301 NP AVENUE, Fargo, ND 58102
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Healthcare Pharmacy, Ndsu

Other Identifiers 2

Medicaid707614200MN
Medicaid1456278ND

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 35D1008813

Family Healthcare Pharmacy, Ndsu · Fargo, ND
Active · expires Sep 23, 2026
CLIA Number35D1008813
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorJennifer Iverson
Laboratory Phone(701) 271-1495
Laboratory LocationFamily Healthcare Pharmacy, Ndsu301 Np Ave, Fargo, ND 58102
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUSAN WOLF NELSON RPH
Pharmacist
301 NP AVENUE
FARGO, ND 58102
Cass County (701) 271-3690
DR. LISA NICOLE GINGREY D. D. S.
Dentist (General Practice)
301 NP AVENUE
FARGO, ND 58102
Cass County (701) 271-3344

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 North Dakota State University's NPI number?

The NPI number for North Dakota State University is 1194805796. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Family Healthcare Pharmacy, Ndsu.

Where is North Dakota State University located?

North Dakota State University is located at 301 Np Avenue, Fargo, ND 58102. The listed phone number is (701) 271-1489.

What is North Dakota State University's specialty?

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

Does North Dakota State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1008813) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Dakota State University 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 44 other insurers list North Dakota State University 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 North Dakota State University was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.