IndividualActive
Alex Petterson
NPI 1558847400 · Pharmacist · West Fargo, ND
Provider details
- NPI number
- 1558847400
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RPH6067 (ND)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
750 23rd Ave E
West Fargo, ND 58078-7804
Phone: (701) 281-2222
Street-level locationGet directions
Mailing address
750 23rd Ave E
West Fargo, ND 58078-7804
Registry dates
- Enumerated
- 2018-07-13
- Last updated
- 2018-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.