MR. KELLY LYNN BRODSHO RPH
NPI 1902146368
Pharmacist in Fargo, ND

Active since February 21, 2013
2800 BROADWAY N, FARGO, ND 58102(701) 293-0221(701) 241-7944 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kelly Lynn Brodsho Rph NPPES

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

MR. KELLY LYNN BRODSHO RPH (NPI 1902146368) is an individual pharmacist in Fargo, North Dakota, licensed in North Dakota (4301) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1902146368
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KELLY LYNN BRODSHOCredential: RPH
Location Address2800 BROADWAY NFargo, ND 58102-1420
Mailing Address2800 Broadway NFargo, ND 58102-1420 · (701) 293-0221 · Fax (701) 241-7944
Fax(701) 241-7944
Sole ProprietorYes
Enumeration DateFebruary 21, 2013
NPI 1902146368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ND · 4301
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

2800 BROADWAY N, Fargo, ND 58102

Other Providers at the Same Location NPPES 6

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

Pharmacist
2800 BROADWAY N
FARGO, ND 58102
Pharmacist
2800 BROADWAY N
FARGO, ND 58102
Pharmacist
2800 BROADWAY N
FARGO, ND 58102
Pharmacist
2800 BROADWAY N
FARGO, ND 58102
Pharmacy (Community/Retail Pharmacy)
2800 BROADWAY N
FARGO, ND 58102
Pharmacist
2800 BROADWAY N
FARGO, ND 58102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902146368, enumerated as an "individual" on February 21, 2013.

The provider is located at 2800 BROADWAY N FARGO, ND 58102 and the phone number is (701) 293-0221.

Pharmacist with taxonomy code 183500000X.