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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WHITE DRUG CO OF JAMESTOWN INC
NPI 1205925815
Pharmacy - Community/Retail Pharmacy in Rugby, ND

Active since October 12, 2006CLIA 35D2054510 · Waiver
107 2ND ST SE, RUGBY, ND 58368(701) 670-1024(701) 670-1026 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Aug 17, 2021, Jan 18, 2017 (3 updates tracked since 2017).

About White Drug Co Of Jamestown Inc NPPES

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

WHITE DRUG CO OF JAMESTOWN INC (NPI 1205925815), doing business as White Drug #50, is a healthcare organization registered as a community/retail pharmacy in Rugby, North Dakota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Anne Brader, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205925815
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWHITE DRUG CO OF JAMESTOWN INC
Location Address107 2ND ST SERugby, ND 58368-1801
Mailing Address6701 Evenstad Dr N Ste 100Maple Grove, MN 55369-6013 · (763) 513-4300
Phone(701) 670-1024
Fax(701) 670-1026
Organization SubpartNo
Authorized OfficialAnne BraderCfo · (763) 513-4300
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1205925815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ND · PHAR461
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
107 2ND ST SE, Rugby, ND 58368
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Other Names 1

Doing Business AsWhite Drug #50

Other Identifiers 2

Medicaid1455575 RXND
Other2071494Pk

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 35D2054510

White Drug #50 · Rugby, ND
Active · expires Feb 21, 2027
CLIA Number35D2054510
Laboratory TypePharmacy
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorTyler Miller
Laboratory Phone(701) 776-5741
Laboratory LocationWhite Drug #50107 2nd St SE, Rugby, ND 58368
CLIA data matches this NPI record on: Address Name
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.
191 services189 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.
137 services137 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.
29 services29 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories White Drug 050 carries, from the Medicare DMEPOS supplier directory.

White Drug 050

DMEPOS supplier · Rugby, NDOperated by White Drug Co Of Jamestown Inc
✔

Accepts Medicare assignment

White Drug 050 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)20664791
Medicare Participant SinceJanuary 1, 1998
Supplier Location107 2nd St SERugby, ND 58368
Phone(701) 776-5741
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
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
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 4

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

AUTUMN LYNN GUILBERT
Pharmacy Technician
107 2ND ST SE
RUGBY, ND 58368
Pierce County (701) 776-5741
ASHLEY KAY BOMMERSBACH
Pharmacy Technician
107 2ND ST SE
RUGBY, ND 58368
Pierce County (701) 776-5741
RANDY ROST
Pharmacist
107 2ND ST SE
RUGBY, ND 58368
Pierce County (701) 776-5741
JILL MARIE ARMSTRONG PHARMACY TECH
Pharmacy Technician
107 2ND ST SE
RUGBY, ND 58368
Pierce County (701) 776-5741

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 White Drug Co Of Jamestown Inc's NPI number?

The NPI number for White Drug Co Of Jamestown Inc is 1205925815. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as White Drug #50.

Where is White Drug Co Of Jamestown Inc located?

White Drug Co Of Jamestown Inc is located at 107 2nd St SE, Rugby, ND 58368. The listed phone number is (701) 670-1024.

What is White Drug Co Of Jamestown Inc's specialty?

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

Does White Drug Co Of Jamestown Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, White Drug 050 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does White Drug Co Of Jamestown Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2054510) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does White Drug Co Of Jamestown Inc 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 White Drug Co Of Jamestown Inc 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 White Drug Co Of Jamestown Inc was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.