Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427605021 Individual Practitioner Female Practitioner

Dr. Nicole Lindy Diveley , PharmD

Pharmacist • Moorhead, MN

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Diveley, PharmD is a registered healthcare professional specializing in Pharmacist in Moorhead, MN. Practice services are available at 801 BELSLY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

801 Belsly Blvd

Moorhead, MN 565605055

Telephone 7013646800
Fax 7013646828
Associated Practice Facility / Clinic
🏢 Innovis Health Llc Facility NPI 1659617504

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Moorhead, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
45 Specialists

Practicing in Moorhead, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ND RPH6392

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License SD 6669

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MN 12727

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Emily Frigaard , DPT

Physical Therapist

NPI 1013808187

Doctor of Physical Therapy

Loni Muus , APRN, CNP

Nurse Practitioner - Family

NPI 1154203065

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Heidi Bitz , MPT

Physical Therapist

NPI 1386680080

Master of Physical Therapy

Dr. Stephen Humble , MD

Emergency Medicine

NPI 1396235461

Doctor of Medicine (M.D.)

Dr. Jerry Rogers , MD

Family Medicine

NPI 1457381980

Doctor of Medicine (M.D.)

Dr. Andrew Clark , DPT

Physical Therapist

NPI 1831011972

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 15, 2022

Registered at 801 BELSLY BLVD, MOORHEAD, MN 565605055 (Tel: 7013646800)

📍
Updated Business Mailing Address August 15, 2022

Registered at 801 BELSLY BLVD, MOORHEAD, MN 565605055 (Tel: 7013646800)

👤
Provider Name / Credentials Updated August 15, 2022

Recorded as NICOLE DIVELEY, PHARMD

NPI Profile Active August 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2019

Registered at WALGREENS PHARMACY, 1720 SOUTH SYCAMORE AVE, SIOUX FALLS, SD 57110 (Tel: 6052210782)

📍
Updated Business Mailing Address August 20, 2019

Registered at 1720 S SYCAMORE AVE, SIOUX FALLS, SD 571104207 (Tel: 6052210782)

👤
Provider Name / Credentials Updated August 20, 2019

Recorded as NICOLE RASMUSSEN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Pharmacist (License #6669 in SD)

🟢
Initial NPI Registration & Enumeration August 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427605021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2019
Last Update: August 15, 2022
Sole Proprietor: Yes

Mailing Address

801 Belsly Blvd

Moorhead, MN 565605055

Phone: 7013646800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.