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NORTH DAKOTA STATE UNIVERSITY
NPI 1972000768
Pharmacy - Clinic Pharmacy in Fargo, ND

Active since April 09, 2018
4025 9TH AVE S STE D, FARGO, ND 58103(701) 551-2446(701) 364-9938 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2025, Aug 24, 2022, Apr 9, 2018 (3 updates tracked since 2018).

About North Dakota State University NPPES

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

NORTH DAKOTA STATE UNIVERSITY (NPI 1972000768), doing business as Family Healthcare Pharmacy South, is a healthcare organization registered as a clinic pharmacy in Fargo, North Dakota and active in the NPI registry since April 2018. The organization lists Nicole Daniel, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1972000768
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameNORTH DAKOTA STATE UNIVERSITY
Location Address4025 9TH AVE S STE DFargo, ND 58103-2101
Mailing Address4025 9th Ave S Ste DFargo, ND 58103-2101 · (701) 551-2446 · Fax (701) 364-9938
Phone(701) 551-2446
Fax(701) 364-9938
Organization SubpartYes
Authorized OfficialNicole DanielPharmacist In Charge · (701) 551-2446
Enumeration DateApril 9, 2018
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1972000768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in ND · PHAR252
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
4025 9TH AVE S STE D, Fargo, ND 58103
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Other Names 1

Doing Business AsFamily Healthcare Pharmacy South

Other Identifiers 3

Medicaid1972000768MN
OtherPHAR252ND · State Pharmacy License
Medicaid1475078ND

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 ›

Other Providers at the Same Location NPPES 4

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

JESSICA JOAN NELSON PHARMD
Pharmacist
4025 9TH AVE S STE D
FARGO, ND 58103
Cass County (701) 551-2446
LINDSAY J PROCHNOW RPHTECH, CHW
Community Health Worker
4025 9TH AVE S STE D
FARGO, ND 58103
Cass County (701) 551-2446
HEATHER RAE MIKKELSEN
Community Health Worker
4025 9TH AVE S STE D
FARGO, ND 58103
Cass County (701) 551-2446
NICOLE RENEE DANIEL PHARM D
Pharmacist
4025 9TH AVE S STE D
FARGO, ND 58103
Cass County (701) 551-2446

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 North Dakota State University's NPI number?

The NPI number for North Dakota State University is 1972000768. It was assigned to this organization in the NPPES registry on April 9, 2018. The provider is doing business as Family HealthCare Pharmacy South.

Where is North Dakota State University located?

North Dakota State University is located at 4025 9th Ave S Ste D, Fargo, ND 58103. The listed phone number is (701) 551-2446.

What is North Dakota State University's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does North Dakota State University 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 North Dakota State University 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 North Dakota State University was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.