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

CHURCHILL PHARMACY
NPI 1639111230
Pharmacy - Community/Retail Pharmacy in Bismarck, ND

Active since June 11, 2006CLIA 35D1076243 · Waiver
1190 W TURNPIKE AVE, BISMARCK, ND 58501(701) 224-0339(701) 224-0534 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2022, Sep 14, 2019, Feb 28, 2017 and 1 more (4 updates tracked since 2015).

About Churchill Pharmacy NPPES

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

CHURCHILL PHARMACY (NPI 1639111230) is a healthcare organization registered as a community/retail pharmacy in Bismarck, North Dakota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Daniel Churchill, Pic, as its authorized official.

NPPES Registry Identity

NPI1639111230
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCHURCHILL PHARMACY HOLDING INC.
Location Address1190 W TURNPIKE AVEBismarck, ND 58501-1300
Mailing Address1190 W Turnpike Ave Ste 2, Suite 2Bismarck, ND 58501-1300 · (701) 224-0339 · Fax (701) 224-0534
Phone(701) 224-0339
Fax(701) 224-0534
Organization SubpartNo
Authorized OfficialDaniel ChurchillPic · (701) 224-0339
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 2, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1639111230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ND · PHAR767
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
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1190 W TURNPIKE AVE, Bismarck, ND 58501
Open in Google Maps ↗

Other Names 1

Other NameChurchill Pharmacy

Other Identifiers 2

Medicaid21492ND
Other2071343Pk

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 35D1076243

Churchill Pharmacy Inc · Bismarck, ND
Active · expires Nov 7, 2027
CLIA Number35D1076243
Laboratory TypePharmacy
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDaniel M. Churchill
Laboratory Phone(701) 224-0339
Laboratory LocationChurchill Pharmacy Inc1190 W Turnpike Ave, Bismarck, ND 58501
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 4

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.
334 services333 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.
319 services319 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 5

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

Churchill Pharmacy

DMEPOS supplier · Bismarck, NDOperated by Churchill Pharmacy Holding Inc
✔

Accepts Medicare assignment

Churchill Pharmacy 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)20563553
Medicare Participant SinceOctober 1, 2007
Supplier Location1190 W Turnpike Ave Ste 2Bismarck, ND 58501
Phone(701) 224-0339
Supplier Specialties
Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
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

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

DR. DANIEL MOORE CHURCHILL PHARM.D.
Pharmacist
1190 W TURNPIKE AVE, SUITE 2
BISMARCK, ND 58501
Burleigh County (701) 224-0339

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 Churchill Pharmacy Holding Inc.'s NPI number?

The NPI number for Churchill Pharmacy Holding Inc. is 1639111230. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is also known as Churchill Pharmacy.

Where is Churchill Pharmacy Holding Inc. located?

Churchill Pharmacy Holding Inc. is located at 1190 W Turnpike Ave, Bismarck, ND 58501. The listed phone number is (701) 224-0339.

What is Churchill Pharmacy Holding Inc.'s specialty?

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

Does Churchill Pharmacy Holding Inc. accept Medicare assignment for medical equipment?

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

Does Churchill Pharmacy Holding Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1076243) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Churchill Pharmacy Holding 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 44 other insurers list Churchill Pharmacy Holding 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 Churchill Pharmacy Holding Inc. was last updated on September 2, 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.