SOUTHPOINTE PHARMACY
NPI 1396723797
Pharmacy in Fargo, ND

Q: What is Prescription Center Pharmacy Inc.'s NPI number?

The NPI number for Prescription Center Pharmacy Inc. is 1396723797. It was assigned to this organization in the NPPES registry on January 5, 2006. The provider is doing business as Southpointe Pharmacy.

Q: What is Prescription Center Pharmacy Inc.'s specialty?

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

Active since January 05, 2006CLIA 35D2205902 · Waiver

2400 32ND AVE S, FARGO, ND 58103(701) 234-9912(701) 297-0807 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2021, Apr 15, 2021, Jan 28, 2021 (3 updates tracked since 2021).

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About Southpointe Pharmacy NPPES

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

SOUTHPOINTE PHARMACY (NPI 1396723797) is a healthcare organization registered as a pharmacy in Fargo, North Dakota and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Jeffrey Douglas Jacobson, President, as its authorized official.

NPPES Registry Identity

NPI1396723797

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePRESCRIPTION CENTER PHARMACY INC.

Location Address2400 32ND AVE SFargo, ND 58103-5800

Mailing Address2400 32nd Ave SFargo, ND 58103-5800 · (701) 234-9912 · Fax (701) 297-0807

Phone(701) 234-9912

Fax(701) 297-0807

Organization SubpartNo

Authorized OfficialJeffrey Douglas JacobsonPresident · (701) 238-0395

Enumeration DateJanuary 5, 2006

Last NPPES UpdateApril 20, 20213 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1396723797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in ND · 1

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.

2400 32ND AVE S, Fargo, ND 58103

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Other Names 1

Doing Business AsSouthpointe Pharmacy

Other Identifiers 2

Medicaid1456717ND

Medicaid21068ND

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 35D2205902

Southpointe Pharmacy · Fargo, ND

Active · expires Dec 15, 2026

CLIA Number35D2205902

Laboratory TypePharmacy

Certificate Effective DateDecember 16, 2024

Certificate Expiration DateDecember 15, 2026

Laboratory DirectorJeffrey Jacobson

Laboratory Phone(701) 234-9912

Laboratory LocationSouthpointe Pharmacy2400 32nd Ave S, Fargo, ND 58103

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

233 services233 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.

228 services228 patients

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.

YURI R NAKASATO MD

Internal Medicine (Rheumatology)