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SANFORD PHARMACY BROADWAY
NPI 1235173519
Pharmacy - Community/Retail Pharmacy in Fargo, ND

Active since June 16, 2006
737 BROADWAY N, FARGO, ND 58102(701) 234-2416(701) 234-2433 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2024, Jun 15, 2023, Jun 29, 2020 and 1 more (4 updates tracked since 2019).

About Sanford Pharmacy Broadway NPPES

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

SANFORD PHARMACY BROADWAY (NPI 1235173519) is a healthcare organization registered as a community/retail pharmacy in Fargo, North Dakota and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Fargo and lists Tony Lee Morrison, Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1235173519
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSANFORD MEDICAL CENTER FARGO
Location Address737 BROADWAY NFargo, ND 58102-4421
Mailing Address737 Broadway NFargo, ND 58102-4421 · (701) 234-2416 · Fax (701) 234-2433
Phone(701) 234-2416
Fax(701) 234-2433
Organization SubpartNo
Authorized OfficialTony Lee MorrisonVp Revenue Cycle · (605) 328-8380
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1235173519 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 · 309
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 309 (ND)
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License 309 (ND)
737 BROADWAY N, Fargo, ND 58102
Open in Google Maps ↗

Other Names 2

Doing Business AsSanford Pharmacy Broadway
Doing Business AsSanford Pharmacy Roger Maris

Secondary Practice Location 1

Location 1820 4th St NFargo, ND 58102-4539 · Phone (701) 234-7554 · Fax (701) 234-7476

Other Identifiers 4

Medicaid1235173519SD
Other35-00712Ncpdp
Medicaid21587ND
Medicaid1235173519MN

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 ›

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Sanford Pharmacy Broadway carries, from the Medicare DMEPOS supplier directory.

Sanford Pharmacy Broadway

DMEPOS supplier · Fargo, NDOperated by Sanford Clinic North
✔

Accepts Medicare assignment

Sanford Pharmacy Broadway 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)20670587
Medicare Participant SinceJanuary 1, 1994
Supplier Location737 Broadway NFargo, ND 58102
Phone(701) 234-2416
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 20

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

SANFORD CLINIC NORTH
Pharmacy
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2416
JODEE L BLAZE CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6258
MIA M KOZOJED NP
Nurse Practitioner
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-5121
ALEXANDRA LANG PHARMD
Pharmacist
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-7600
DR. KIRBY MOHL PHARM. D.
Pharmacist
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2416
RACHEL ANN HICKS LAC, LBSW
Counselor (Addiction (Substance Use Disorder))
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2000
KATIE THOMPSON DNP, APRN, FNP-C
Nurse Practitioner
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2261
DR. TALAYEH VATANKHAH MD
Family Medicine
737 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6076

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 Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1235173519. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Sanford Pharmacy Broadway and Sanford Pharmacy Roger Maris.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 737 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2416.

What is Sanford Medical Center Fargo's specialty?

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

Does Sanford Medical Center Fargo accept Medicare assignment for medical equipment?

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

What insurance does Sanford Medical Center Fargo 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 48 other insurers list Sanford Medical Center Fargo 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 Sanford Medical Center Fargo was last updated on July 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.