Healthcare Provider Details

I. General information

NPI: 1144264854
Provider Name (Legal Business Name): THOMAS FRANK SIMMER R.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDCENTER ONE PHARMACY 300 N 7TH ST BOX 5525
BISMARCK ND
58506-5525
US

IV. Provider business mailing address

2409 HARDING AVE
BISMARCK ND
58501-2235
US

V. Phone/Fax

Practice location:
  • Phone: 701-323-8606
  • Fax: 701-323-6988
Mailing address:
  • Phone: 701-323-8606
  • Fax: 701-323-6988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3434
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number3434
License Number StateND
# 3
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number3434
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: