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Dr. Brody Maack, Pharm.D.

Pharmacist, Ambulatory Care in Fargo, ND. Individual provider (NPI-1).

NPI number1063580751
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1063580751
Entity type
Individual (NPI-1)
Name
Dr. Brody Maack
Credential
Pharm.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 1, 2006
Certification date
Jan 29, 2025
Last updated
Jan 29, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P2201X Pharmacist, Ambulatory CareRph5068NDYes
183500000X Pharmacist5068ND
183500000X Pharmacist118538MN

Practice location

301 NP Ave N
Fargo, ND 58102-4835

Phone 701-271-6363

Mailing address

523 Piper St
Kindred, ND 58051-4511

Phone 701-306-9230

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Ambulatory Care Pharmacist providers in Fargo, ND

All 6 Ambulatory Care Pharmacist providers in Fargo · All 8,598 providers in Fargo

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