BETHANY MARIE HOLDEN (NPI# 1932700622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932700622 |
| Entity Type | Individual |
| Full Name | BETHANY MARIE HOLDEN |
| Practice Address |
1201 29th St Se Watertown SD 57201-9179 |
| Mailing Address |
19211 467th Ave Estelline SD 57234-5648 |
| Practice Telephone | 6058868419 |
| Mailing Telephone | 6056911899 |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5475 | SD | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629622030 | Bethany Bernadette Holden | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2019-07-25 |
| Street Address |
1201 29TH ST SE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-9179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679590848 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1201 29th St Se, Watertown, SD 57201-9179 | 2006-07-16 |
| 1568978740 | Jamie Tarbox | Pharmacist | 1201 29th St Se, Watertown, SD 57201-9179 | 2017-12-24 |
| 1205342094 | Jessica Sittig | Pharmacist | 1201 29th St Se, Watertown, SD 57201-9179 | 2017-12-16 |
| 1285140145 | Stacey Ann Kemmis | Pharmacist | 1201 29th St Se, Watertown, SD 57201-9179 | 2017-12-14 |
| 1336345560 | John Boer, PC | Optometrist | 1201 29th St Se, Ste A, Watertown, SD 57201-9179 | 2007-06-25 |
| 1740363092 | Wal-mart Stores, Inc. | Technician/Technologist | 1201 29th St Se, Watertown, SD 57201-9179 | 2006-10-23 |
| 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 |
| 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 |
| 1285662742 | Prairie Lakes Healthcare System Inc | Pharmacy | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-06-30 |
| 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 | ||||
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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.