Professional Pharmacy Llc
Long Term Care Pharmacy
3124 Colorado Lane, #400, Bismarck
North Dakota, 58503
701-223-6854 701-223-6856
Professional Pharmacy Llc is a Long Term Care Pharmacy in Bismarck, North Dakota. It is located at 3124 Colorado Lane, #400, Bismarck and it's customer support contact number is 701-223-6854. The authorized person of Professional Pharmacy Llc is Dr. Daniel Moore Churchill, PHARMD who is President of the pharmacy and his contact number is 701-224-0339. Active license number of Professional Pharmacy Llc is 624 for Long Term Care Pharmacy in North Dakota. Professional Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Professional Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Professional Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Professional Pharmacy Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 3124 Colorado Lane, #400, Bismarck,
North Dakota, 58503 |
| Phone: | 701-223-6854 |
| Fax: | 701-223-6856 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Daniel Moore Churchill |
| Credentials: | PHARMD |
| Position: | President |
| Contact Number: | 701-224-0339 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1043243272 |
| NPI Enumeration Date: | 09 Jul, 2006 |
| NPI Last Update On: | 20 Aug, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 624 | North Dakota | Primary | |
| Pharmacy | 624 | North Dakota | Secondary | |
| Community/Retail Pharmacy | 624 | North Dakota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1470429 | Medicaid | North Dakota | |
Medicare Enrollment:
Professional Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345338570 | O20100930066330 | Professional Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 6002188646 | O20170817000558 | Professional Pharmacy Llc | DME SUPPLIER - PHARMACY |
Products Available:
Professional Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Orthoses: Off-the-shelf |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3124 Colorado Ln Ste 400,
Bismarck, North Dakota |
| Zip: | 58503-5446 |
| Phone Number: | 701-223-6854 |
| Fax Number: | 877-790-2139 |
Patients can reach Professional Pharmacy Llc at
3124 Colorado Lane, #400, Bismarck, North Dakota or can
call on customer care at 701-223-6854.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.