PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL (NPI# 1558742098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558742098 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Other Organization Name | LACREEK DISTRICT CLINIC PHARMACY |
| Practice Address |
119 S 1st Ave Martin SD 57551-5835 |
| Practice Telephone | 6056852800 |
| Mailing Telephone | 6056852800 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | MS. RHONDA M AKERS (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6058673032 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| LACREEK DISTRICT CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1962559518 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 210 1st St, Wanblee, SD 57577-0290 | 2007-01-05 |
| 1003963497 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 1000 Health Center Rd, Kyle, SD 57752-0540 | 2007-01-05 |
| 1407903321 | Pine Ridge Indian Health Service Hospital | Clinic/Center | Bia Hwy 8, Allen, SD 57714-9999 | 2007-01-04 |
| 1487701348 | Pine Ridge Indian Health Service Hospital | Clinic/Center | Downtown Manderson, Manderson, SD 57756 | 2007-01-04 |
| 1033266945 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2007-01-04 |
| 1497786412 | Pine Ridge Indian Health Service Hospital | Clinic/Center | East Highway 18, Pine Ridge, SD 57770-9998 | 2006-07-06 |
| Street Address |
119 S 1ST AVE |
| City | MARTIN |
| State | SD |
| Zip Code | 57551-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113736 | Tami Lynn Toczek | Dietitian, Registered | 22013 Old Highway 18, Martin, SD 57551 | 2018-11-15 |
| 1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1851696843 | Cathy Sue Childress | Physician Assistant | 302 South 1st Avenue, Martin, SD 57551 | 2011-01-21 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1417313016 | Amanda Lynn Ruhs | Nurse Practitioner | 109 Pugh Street, Martin, SD 57551 | 2016-01-12 |
| 1255416186 | Kirk Wilson Martin Drug & Mercantile | Pharmacy | 304 Main St, Martin, SD 57551-0050 | 2006-10-26 |
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1003105941 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2011-03-31 |
| 1386891349 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen St, Martin, SD 57551-0070 | 2008-08-21 |
| Find all providers in zip 57551 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1962957431 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Route 122, Martin, KY 41649 | 2016-08-24 |
| 1871609560 | Rx Discount Pharmacy of Harlan County Inc | Pharmacy | 12554 Ky Route 1428, Martin, KY 41649-0748 | 2006-08-22 |
| 1992810923 | Carman Pharmacy | Pharmacy | 1598 S Main St, Martin, MI 49070 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525864 | Spring Meds Inc | Pharmacy | 2810 W 3rd St Ste 3, Sioux Falls, SD 57104-2598 | 2020-07-17 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1205311628 | Avera Mckennan | Pharmacy | 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 | 2018-10-02 |
| 1932642428 | Brothers Pharmacies Inc | Pharmacy | 202 Island Dr Ste 2, Fort Pierre, SD 57532-7303 | 2016-12-01 |
| 1750824462 | Rambo Ltc Inc | Pharmacy | 1004 6th St Ste B, Brookings, SD 57006-2205 | 2016-11-29 |
| 1811357239 | Community Pharmacies Inc | Pharmacy | 120 Commercial Street Se, Highmore, SD 57345 | 2016-02-26 |
| 1811263106 | Lewis Family Drug LLC | Pharmacy | 1305 W Havens Ave, Mitchell, SD 57301-4116 | 2012-03-30 |
| 1962787440 | Avera Mckennan | Pharmacy | 4400 W 69th St Ste 300, Sioux Falls, SD 57108-8170 | 2011-10-17 |
| 1952629032 | Turner Drug Inc | Pharmacy | 3033 Main Street, Bowdle, SD 57428 | 2010-05-13 |
| 1033437223 | Wullstein Pharmacy Inc. | Pharmacy | 116 E Holly Blvd, Brandon, SD 57005-1114 | 2010-05-12 |
| Find all providers with the same taxonomy | ||||
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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.