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CENTRAL AVENUE PHARMACY INC NPI 1669546149


NPI Information

NPI: 1669546149
Provider Name: CENTRAL AVENUE PHARMACY, INC
Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 35D0959089

Address:
323 CENTRAL AVE N
SUITE 101
VALLEY CITY, ND
ZIP 58072
Phone: (701) 845-5280
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CENTRAL AVENUE PHARMACY, INC is a pharmacist in Valley City, ND. The provider is 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. CENTRAL AVENUE PHARMACY, INC NPI is 1669546149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

323 CENTRAL AVE N
SUITE 101
VALLEY CITY, ND
ZIP 58072-915
Phone: (701) 845-5280
Fax: (701) 845-1847

The provider's authorized official is Doreen M. Sayler .
The authorized official title is President and has the following contact phone number (701) 845-5280.

The CLIA number assigned to this NPI record is 35D0959089 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist164NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121025MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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