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 1679663512
Pharmacy - Community/Retail Pharmacy in Minot, ND

Active since October 13, 2006CLIA 35D2043434 · Waiver
2211 16TH ST NW STE B, MINOT, ND 58703(701) 852-0388(877) 201-5349 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Aug 17, 2021, Jul 19, 2018 (3 updates tracked since 2018).

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 1679663512), doing business as White Drug #40, is a healthcare organization registered as a community/retail pharmacy in Minot, North Dakota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Anne Brader, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679663512
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWHITE DRUG CO OF JAMESTOWN INC
Location Address2211 16TH ST NW STE BMinot, ND 58703-1215
Mailing Address6701 Evenstad Dr N Ste 100Maple Grove, MN 55369-6013 · (763) 513-4300
Fax(877) 201-5349
Organization SubpartNo
Authorized OfficialAnne BraderCfo · (763) 513-4300
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1679663512 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 · PHAR78
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
2211 16TH ST NW STE B, Minot, ND 58703

Other Names 1

Doing Business AsWhite Drug #40

Other Identifiers 3

Medicaid1458184 DMEND
Other2071259Pk
Medicaid1455515 RXND

Accepted 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 35D2043434

White Drug #040 · Minot, ND
Active · expires Jul 1, 2028
CLIA Number35D2043434
Laboratory TypePharmacy
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorElias Metzigian
Laboratory Phone(701) 852-0388
Laboratory LocationWhite Drug #0402211 16th St NW Suite B, Minot, ND 58701
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
193 services191 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.
92 services92 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.
89 services89 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.
12 services12 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories White Drug #040 carries, from the Medicare DMEPOS supplier directory.

White Drug #040

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

Accepts Medicare assignment

White Drug #040 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)20664785
Medicare Participant SinceJanuary 1, 1998
Supplier Location2211 16th St NW Ste BMinot, ND 58703
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.

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 1679663512. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as White Drug #40.

Where is White Drug Co Of Jamestown Inc located?

White Drug Co Of Jamestown Inc is located at 2211 16th St NW Ste B, Minot, ND 58703. The listed phone number is (701) 852-0388.

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 #040 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 35D2043434) is associated with this NPI, valid through July 1, 2028. 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 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.