KEATON MARK MOFFITT (NPI# 1144715830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144715830 |
| Entity Type | Individual |
| Full Name | KEATON MARK MOFFITT |
| Credential | PHARMD |
| Practice Address |
708 S Riverward Dr Sioux Falls SD 57106-4604 |
| Mailing Address |
2701 S Minnesota Ave Ste 1 Sioux Falls SD 57105-4787 |
| Practice Telephone | 6052612512 |
| Mailing Telephone | 6053672800 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6586 | SD | Pharmacy Service Providers |
| Street Address |
708 S RIVERWARD DR |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57106-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279675 | Complete Medical Supply | Durable Medical Equipment & Medical Supplies | 5107 W. 41st Street, Suite 4, Sioux Falls, SD 57106 | 2020-06-12 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1033750005 | Joel Holzapfel | Physical Therapist | 2571 Sw Lake Drive, Suite 200, Sioux Falls, SD 57106 | 2019-10-01 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1285068346 | Aimee M Moulton | Pharmacist | 5105 S. Crossings Place Ste #4, Sioux Falls, SD 57106 | 2013-08-26 |
| 1740526870 | Frank O. Main Jr. | Marriage & Family Therapist | 4300 Louise Avenue #201, Stronghold Counseling Services, Sioux Falls, SD 57106 | 2012-12-18 |
| 1801107222 | Bridget Jean Lervick | Dentist | 5121 S. Solberg Ave., Suite 120, Sioux Falls, SD 57106 | 2010-06-30 |
| 1083855217 | Megan Jean Woodraska | Dietitian, Registered | 1900 S. Marion Rd., Sioux Falls, SD 57106 | 2009-03-18 |
| 1427216373 | Carol Marie Rowe | Occupational Therapist | 26650 Wayne Avenue, Sioux Falls, SD 57106 | 2008-05-28 |
| Find all providers in zip 57106 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429713 | Jennifer Bergan | Pharmacist | 4509 S Prince of Peace Pl, Sioux Falls, SD 57103-5830 | 2020-08-24 |
| 1992299879 | Aaron Troy Zieske | Pharmacist | 7620 S Beal Ave, Sioux Falls, SD 57108-4993 | 2018-06-14 |
| 1538652466 | Kara Benson | Pharmacist | 4424 W Kinsley Pl, Sioux Falls, SD 57108-5452 | 2018-06-14 |
| 1912350331 | Dylan Stoebner | Pharmacist | 2201 W 6th St, Apt. #212, Sioux Falls, SD 57104-5860 | 2016-07-20 |
| 1083061493 | Jeff Meyer | Pharmacist | 7704 W 32nd St, Sioux Falls, SD 57106-5133 | 2016-05-16 |
| 1679957146 | Cassie Heisinger | Pharmacist | 5100 S Nevada Ave Apt 216, Sioux Falls, SD 57108-2282 | 2015-07-15 |
| 1497139273 | Sara Gossen | Pharmacist | 500 W 41st St, Sioux Falls, SD 57105-6402 | 2015-07-12 |
| 1811370745 | Else Umbreit | Pharmacist | 300 Cherapa Pl Ste 201, Sioux Falls, SD 57103-2272 | 2015-07-09 |
| 1225422603 | Joel Engle | Pharmacist | 2305 E 54th St, Sioux Falls, SD 57103-5422 | 2015-03-24 |
| 1730515081 | Karen Marie Hoffman | Pharmacist | 911 E 20th St Ste 200, Sioux Falls, SD 57105-1044 | 2013-09-18 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57106 |
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| 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.