ABERDEEN MEDICAL CENTER PHARMACY, INC (NPI# 1083703037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083703037 |
| Entity Type | Organization |
| Organization Name | ABERDEEN MEDICAL CENTER PHARMACY, INC |
| Other Organization Name | STATE STREET PHARMACY |
| Practice Address |
105 S State St Suite 111 Aberdeen SD 57401-4500 |
| Practice Telephone | 6052251945 |
| Practice Fax Number | 6057250037 |
| Mailing Telephone | 6052251945 |
| Mailing Fax Number | 6057250037 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | MR. DAVID JAMES TAFFE (PRESIDENT) |
| Authorized Official Telephone | 6052251945 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | ABERDEEN MEDICAL CENTER PHARMACY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
1001616 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 8500310 | 05 | |
| SD | NABP# | 4304553 | 01 |
| Other Name | Type Code |
|---|---|
| State Street Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174612121 | Aberdeen Medical Center Pharmacy, Inc | Pharmacy | 2201 6th Ave Se, Suite 23, Aberdeen, SD 57401-5130 | 2006-10-11 |
| 1235156944 | Aberdeen Medical Center Pharmacy, Inc | Pharmacy | 815 1st Ave Se, Ste 202, Aberdeen, SD 57401 | 2006-07-17 |
| 1376560094 | Aberdeen Medical Center Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 3015 3rd Ave Se, Suite 110, Aberdeen, SD 57401-5418 | 2006-07-17 |
| Street Address |
105 S STATE ST SUITE 111 |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567319 | Mark P Mogen | Family Medicine | 105 S State St, Suite 113, Aberdeen, SD 57401-4500 | 2005-06-09 |
| 1316563141 | Danita Hoffman | Pharmacist | 105 S State St, Aberdeen, SD 57401-4501 | 2020-06-17 |
| 1487000709 | Kristin Sue Vanbuskirk | Nurse Practitioner | 105 S State St, Suite 113, Aberdeen, SD 57401-4501 | 2016-05-05 |
| 1790160570 | Jessica A Bierschbach | Nurse Practitioner | 105 S State St, Suite 113, Aberdeen, SD 57401-4501 | 2015-07-22 |
| 1629345723 | Oleksandr Kachanov | Pediatrics | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2011-11-17 |
| 1437271301 | Aberdeen Family Physicians | Clinical Medical Laboratory | 105 S State St, Suite 113, Aberdeen, SD 57401-4500 | 2007-04-04 |
| 1912077249 | Shawn David Bartel | Internal Medicine | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2006-11-08 |
| 1407935901 | Cynthia Jane Pallesen | Nurse Practitioner | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2006-11-03 |
| 1215905518 | Michael J Knapp | Family Medicine | 105 S State St, Suite 113, Aberdeen, SD 57401-4500 | 2006-03-10 |
| 1235102351 | Nancy Ann Rude | Physician Assistant | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103469 | Kleins of Aberdeen Inc | Pharmacy | 949 Beards Hill Rd, Aberdeen, MD 21001-1734 | 2020-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376105452 | Great Plains Tribal Chairmen's Health Board | Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-06-28 |
| 1932651122 | Avera St. Mary's | Pharmacy | 100 Mac Ln, Suite 101, Pierre, SD 57501-3391 | 2016-11-04 |
| 1346266202 | Avera Mckennan | Pharmacy | 1301 S Cliff Ave, Suite 200, Sioux Falls, SD 57105-1005 | 2006-07-14 |
Please comment or provide details below to improve the information on ABERDEEN MEDICAL CENTER PHARMACY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.