OrganizationActiveAccepts Medicare
Sanford Medical Center Fargo
NPI 1124122783 · Clinic Pharmacy · Moorhead, MN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124122783
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tony Morrison, Vice President, Revenue Cycle(605) 328-8380
- License
- 2602723 (MN)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4000 28th Ave S
Moorhead, MN 56560
Phone: (701) 234-3250
Street-level locationGet directions
Mailing address
4000 28th Ave S
Moorhead, MN 56560-7926
Other names (DBA / former)
- Doing business as
- Sanford Pharmacy Moorhead
- Doing business as
- Sanford Pharmacy Moorhead
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.