Killdeer Pharmacy Inc.
Killdeer Pharmacy Inc. is a healthcare organization registered as Community/Retail Pharmacy in Killdeer, ND, holding Type 2 (organization) NPI 1508972936 since 2006. The authorized official on file is Jody Doe, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508972936 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Killdeer Pharmacy Inc. |
| Practice address | 220 4TH AVE SW STE B, Killdeer, ND, 58640 |
| Phone | 7017645093 |
| Fax | 7017645094 |
| Enumeration date | 2006-08-21 |
| Last updated in NPPES | 2026-02-19 |
Authorized official
| Name | Jody Doe |
|---|---|
| Title | Owner |
| Phone | 7017645093 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 58 | ND |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21196 | Medicaid | ND | — |
| 3503744 | Other | ND | NCPDP NUMBER |
Copy-ready billing details
Provider: Killdeer Pharmacy Inc. NPI: 1508972936 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 220 4TH AVE SW STE B, Killdeer, ND, 58640
Verify this record
Cross-check NPI 1508972936 against the authoritative CMS record: view Killdeer Pharmacy Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Killdeer Pharmacy Inc.?
Who is the authorized official for Killdeer Pharmacy Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-19.