OrganizationActive
North Dakota State University
NPI 1972000768 · Clinic Pharmacy · Fargo, ND
Provider details
- NPI number
- 1972000768
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Parent organization
- North Dakota State University
- Organization subpart
- Yes
- Authorized official
- Nicole Daniel, Pharmacist in Charge(701) 551-2446
- License
- PHAR252 (ND)
Specialties & taxonomies
Suppliers
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
8 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
4025 9th Ave S Ste D
Fargo, ND 58103-2101
Phone: (701) 551-2446
Fax: (701) 364-9938
Street-level locationGet directions
Mailing address
4025 9th Ave S Ste D
Fargo, ND 58103-2101
Other names (DBA / former)
- Doing business as
- Family Healthcare Pharmacy South
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.