RICHARD BOYD AMUNDSON (NPI# 1821116492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821116492 |
| Entity Type | Individual |
| Full Name | RICHARD BOYD AMUNDSON |
| Credential | RPH |
| Practice Address |
317 Main Street Eagle Butte SD 57625-1012 |
| Practice Telephone | 6059647724 |
| Practice Fax Number | 6059641139 |
| Mailing Telephone | 6059647724 |
| Mailing Fax Number | 6059641139 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3674 | SD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609315969 | Richard M Amundson | Registered Nurse | 110 Pine Grove Cmns, York, PA 17403-5151 | 2017-02-20 |
| Street Address |
317 MAIN STREET |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57625-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386920411 | Susan Ashley Fuller | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625 | 2011-11-03 |
| 1922380534 | Jessi Marri Steve | Nurse Practitioner | 317 Main Street, Eagle Butte, SD 57625 | 2011-09-10 |
| 1952604944 | Saomony Cheam | Pharmacist | 317 Main Street, Eagle Butte, SD 57625 | 2010-12-13 |
| 1801198585 | Randi Peacock | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625-1012 | 2010-12-01 |
| 1023318953 | Heather Leigh Martin | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625 | 2010-10-26 |
| 1023327780 | Candace Mae Veit | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625 | 2010-09-29 |
| 1801121702 | Danette Darlene Serr | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625 | 2009-10-09 |
| 1558590091 | Jonni A Rousseau | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625-0000 | 2009-07-06 |
| 1659518983 | Theodore P Roman | Family Medicine | 317 Main Street, Eagle Butte, SD 57625 | 2009-01-08 |
| 1770778821 | Eunice Rose Montreal | Registered Nurse | 317 Main Street, Eagle Butte, SD 57625-0326 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998359 | Jill M Marshall | Registered Nurse | 24279 166th St. Airport Road, Eagle Butte, SD 57625 | 2020-06-29 |
| 1871110890 | Stephen Andrew Williams | Registered Nurse | 24767 166th St, Eagle Butte, SD 57625 | 2020-06-26 |
| 1730706706 | Shannon Renee Brautigan | Registered Nurse | 24276 166th Street Airport Rd., Eagle Butte, SD 57625 | 2020-06-25 |
| 1598327827 | Lucy Manu | Pharmacist | 24276 166th Street; Airport Road, Eagle Butte, SD 57625 | 2019-07-08 |
| 1518429539 | Lisa Marie Brower | Registered Nurse | 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 | 2019-04-01 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1619455540 | Alycia Oster | Registered Nurse | 24276 166th St Airport Rd, Eagle Butte, SD 57625 | 2018-08-02 |
| 1447765987 | Deidra Monique Hall | Nurse's Aide | 211 S Spiel Court, Eagle Butte, SD 57625 | 2017-12-06 |
| 1295271070 | Cree Iron Cloud | Registered Nurse | #24276 Airport Rd, Eagle Butte, SD 57625 | 2017-01-17 |
| 1922452531 | Holly Mattern | Registered Nurse | 24276 166th Street Airport Rd, Eagle Bute, SD 57625 | 2016-04-20 |
| Find all providers in zip 57625 | ||||
| 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 |
|---|---|---|---|---|
| 1598327827 | Lucy Manu | Pharmacist | 24276 166th Street; Airport Road, Eagle Butte, SD 57625 | 2019-07-08 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1710387568 | Ellen Jung | Pharmacist | 24276 166th Street, Airport Rd, Eagle Butte, SD 57625 | 2014-08-29 |
| 1912307752 | Roger Si-en Liu | Pharmacist | 24276 166th Street, Airport Road, Eagle Butte, SD 57625-0461 | 2014-08-29 |
| 1295082840 | Latilia Deanne Mack | Pharmacist | 24276 166th St, Airport Rd, Eagle Butte, SD 57625 | 2012-08-13 |
| 1598388423 | Michelle Wai-fong Hui | Pharmacist | 24276 166th Street, Airport Road, Eagle Butte, SD 57625 | 2020-05-27 |
| 1659743714 | Matthew Watters | Pharmacist | 24276 166th Street, Airport Road, Eagle Butte, SD 57625 | 2015-10-28 |
| 1194101105 | Carlie M Soper | Pharmacist | 24276 166th Street Airport Road, Eagle Butte, SD 57625 | 2015-08-03 |
| 1376886705 | Lethi Bui Pham | Pharmacist | 24276 166th Street, Cheyenne River Health Unit, Eagle Butte, SD 57625 | 2013-04-04 |
| 1740524438 | Ylien Phung | Pharmacist | 24276 166th Street, Eagle Butte, SD 57625 | 2012-11-19 |
| Find all providers in EAGLE BUTTE | ||||
| City | EAGLE BUTTE |
| Zip Code | 57625 |
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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.