STATE OF SOUTH DAKOTA-DIVISION OF (NPI# 1902930613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902930613 |
| Entity Type | Organization |
| Organization Name | STATE OF SOUTH DAKOTA-DIVISION OF |
| Other Organization Name | SOUTH DAKOTA STATE VETERANS HOME PHARMACY |
| Practice Address |
2500 Minnekahta Ave Hot Springs SD 57747-1129 |
| Practice Telephone | 6057455127 |
| Practice Fax Number | 6057454617 |
| Mailing Telephone | 6057455127 |
| Mailing Fax Number | 6057457329 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | JOHN LANE (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 6057455127 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
100-1627 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2094310 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTH DAKOTA STATE VETERANS HOME PHARMACY | Doing Business As Name - Organization |
| Street Address |
2500 MINNEKAHTA AVE |
| City | HOT SPRINGS |
| State | SD |
| Zip Code | 57747-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891999892 | John L Lane | Pharmacist | 2500 Minnekahta Ave, Hot Springs, SD 57747-1129 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
| 1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
| 1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
| 1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
| 1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
| Find all providers in zip 57747 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1215349667 | Midsouth Medical Specialties, LLC | Pharmacy | 5500 Central Avenue, Hot Springs, AR 71913 | 2014-05-20 |
| 1356413587 | Genoa Healthcare, LLC | Pharmacy | 125 Dons Way, Hot Springs, AR 71913-6478 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729484 | Lewis Family Drug, LLC | Pharmacy | 2700 W 12th St Ste 100, Sioux Falls, SD 57104-3701 | 2020-01-10 |
| 1780149864 | Lewis Family Drug, LLC | Pharmacy | 925 Sd Hwy 10, Sisseton, SD 57262 | 2019-02-04 |
| 1215491980 | Lewis Family Drug, LLC | Pharmacy | 119 6th Ave Sw, Aberdeen, SD 57401-5947 | 2019-01-28 |
| 1902253214 | Wyodak Pharmacies Inc | Pharmacy | 145 Glendale Dr, Lead, SD 57754 | 2016-05-17 |
| 1740635325 | Lewis Family Drug, LLC | Pharmacy | 404 3rd Ave S, Clear Lake, SD 57226 | 2016-05-02 |
| 1891009783 | Winner Health Mart Pharmacy Inc | Pharmacy | 702 W 2nd St, Winner, SD 57580-1113 | 2010-08-03 |
| 1518288026 | Eureka Pharmacy & Gift Shoppe Inc | Pharmacy | 511 5th Avenue, Ipswich, SD 57451 | 2010-06-18 |
| 1811141815 | Main Street Pharmacy I Corp | Pharmacy | 389 S Main St, Freeman, SD 57029-2337 | 2008-11-05 |
| 1366514036 | Coborns Inc | Pharmacy | 2150 Dakota Ave S, Huron, SD 57350-4311 | 2006-11-15 |
| 1528157146 | Lewis Drugs, Inc. | Pharmacy | 1301 E 10th St, Suite 100, Sioux Falls, SD 57103-1780 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 57747 |
Please comment or provide details below to improve the information on STATE OF SOUTH DAKOTA-DIVISION OF.
| 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.