PRAIRIE LAKES HEALTHCARE SYSTEM INC (NPI# 1285662742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285662742 |
| Entity Type | Organization |
| Organization Name | PRAIRIE LAKES HEALTHCARE SYSTEM INC |
| Other Organization Name | CAMPUS PHARMACY |
| Practice Address |
401 9th Ave Nw Watertown SD 57201-1548 |
| Practice Telephone | 6058827000 |
| Practice Fax Number | 6058827607 |
| Mailing Telephone | 6058827000 |
| Mailing Fax Number | 6058827607 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | MICHAEL E ANDERSON (CFO) |
| Authorized Official Telephone | 6058827718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
100-1855 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9162610 | 05 |
| Other Name | Type Code |
|---|---|
| Campus Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205851458 | Prairie Lakes Healthcare System Inc | Home Health | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-07-12 |
| Street Address |
401 9TH AVE NW |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477287 | Steven E Miller | Internal Medicine | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2005-06-20 |
| 1306485172 | Haley Marie Ellis | Registered Nurse | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2019-12-27 |
| 1871136549 | Shelly Eileen Holida | Speech-Language Pathologist | 401 9th Ave Nw, Watertown, SD 57201-1599 | 2019-10-24 |
| 1366916645 | Kari Ann Berg | Registered Nurse | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2019-01-19 |
| 1194292987 | Misty Dawn Blough Hildenbrand | Dietitian, Registered | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-10-30 |
| 1548778897 | Heidi Wirtjes | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-19 |
| 1134637796 | Amanda L Schaeffer | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-17 |
| 1063920890 | Sara Leigh Crawford Foust | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-15 |
| 1972023083 | Katelynn Elizabeth Bailey | Emergency Medicine | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2017-06-21 |
| 1811431877 | Megan Merkel | Nurse Practitioner | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2016-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1154811347 | Carl Michael Heineman | Pharmacy | 556 Northfield Rd, Watertown, CT 06795-1503 | 2018-05-14 |
| 1508965963 | Cvs Pharmacy Inc | Pharmacy | 27 Main St # 43, Watertown, MA 02472-4404 | 2006-09-22 |
| 1700816576 | Walgreen Co. | Pharmacy | 929 Arsenal St, Watertown, NY 13601-2305 | 2006-07-04 |
| 1760412985 | Hy Vee Inc | Pharmacy | 1320 9th Ave Se, Watertown, SD 57201-5302 | 2006-07-04 |
| 1932700622 | Bethany Marie Holden | Pharmacy | 1201 29th St Se, Watertown, SD 57201-9179 | 2020-11-08 |
| 1669565263 | Chris S. Calender | Pharmacy | 161 Clinton St, Watertown, NY 13601 | 2006-10-02 |
| 1235238692 | Cvs Pharmacy Inc | Pharmacy | 189 Watertown St, Watertown, MA 02472-2571 | 2006-09-22 |
| 1326072547 | Aurora Pharmacy Inc | Pharmacy | 204 E Main St, Watertown, WI 53094-3748 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868514 | Dakota Pharms, LLC | Pharmacy | 120 Commercial Ave Se, Highmore, SD 57345-2145 | 2019-12-17 |
| 1831675438 | Lewis Drugs, Inc. | Pharmacy | 2525 S Ellis Rd, Sioux Falls, SD 57106-7066 | 2018-07-17 |
| 1104302702 | Lewis Drugs, Inc. | Pharmacy | 136 S Phillips Ave, Sioux Falls, SD 57104-6706 | 2018-07-17 |
| 1316463219 | Avera Mckennan | Pharmacy | 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 | 2017-08-22 |
| 1487109690 | Monument Health Home Plus, LLC | Pharmacy | 2006 Mount Rushmore Rd Ste 2, Rapid City, SD 57701-4622 | 2016-08-17 |
| 1316342306 | Dpx Enterprises, Inc. | Pharmacy | 5028 S Cliff Ave, Sioux Falls, SD 57108-5432 | 2014-11-03 |
| 1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1609178565 | Hy Vee Inc | Pharmacy | 2700 W 10th St, Sioux Falls, SD 57104-2547 | 2010-11-29 |
| 1447450994 | Your Daily Dose, Inc. | Pharmacy | 220 South Cliff Ave., Harrisburg, SD 57032 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRAIRIE LAKES HEALTHCARE SYSTEM 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.