MCLAUGHLIN IHS CLINIC PHARMACY (NPI# 1093845653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093845653 |
| Entity Type | Organization |
| Organization Name | MCLAUGHLIN IHS CLINIC PHARMACY |
| Other Organization Name | MCLAUGHLIN IHS CLINIC PHARMACY |
| Practice Address |
701 East 6th St Mclaughlin SD 57642-0879 |
| Mailing Address |
3111 Solutions Ctr Chicago IL 60677-3001 |
| Practice Telephone | 6058234458 |
| Practice Fax Number | 6058234614 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5540010 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4304870 | 01 |
| Other Name | Type Code |
|---|---|
| MCLAUGHLIN IHS CLINIC PHARMACY | Doing Business As Name - Organization |
| Street Address |
701 EAST 6TH ST |
| City | MCLAUGHLIN |
| State | SD |
| Zip Code | 57642-0879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588948442 | Ruth E Burgers | Registered Nurse | 701 East 6th St, Mclaughlin, SD 57642-0879 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661594 | Xandria Khrystynne Perman | Dentist | 611 2nd Ave East, Mclaughlin, SD 57642 | 2020-08-28 |
| 1043763634 | Joshua Oliver | Pharmacist | 701 E. 6th Street, Mclaughlin, SD 57642 | 2016-07-29 |
| 1700260205 | Zachary Isaiah Perman | Dentist | 611 2nd Avenue East, Mclaughlin, SD 57642 | 2015-07-14 |
| 1144380866 | Tawa M Witko | Psychologist | 701 E 6th St, Mclaughlin Clinic, Mclaughlin, SD 57642 | 2006-12-11 |
| 1508830274 | Jessica Y Norder | Nurse Practitioner | 103 1st Avenue East, Mc Laughlin, SD 57642 | 2006-02-17 |
| 1720518681 | Brea Norder | Registered Nurse | 701 E 6th St, Mclaughlin, SD 57642 | 2017-06-14 |
| 1659747012 | Mclaughlin Health Center | Clinic/Center | 701 E. 6th St., Mclaughlin, SD 57642 | 2015-08-19 |
| 1154565471 | Rita Faye Bordeaux | Registered Nurse | 701 E. 6th St., Box879, Mclaughlin, SD 57642 | 2009-04-30 |
| 1861633075 | Jeffrey Mowrer | Counselor | 701 East 6th Street, Box 879, Mclaughlin, SD 57642 | 2009-03-18 |
| 1154577674 | Jamie Lynn Giroux | Registered Nurse | 701 East 6th Street, Mclaughlin, SD 57642 | 2008-08-15 |
| Find all providers in zip 57642 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174653752 | Wanblee Indian Health Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Highway 44, Wanblee, SD 57577 | 2007-03-06 |
| 1053441626 | Rosebud Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 18 400 Soldier Creek Rd, Rosebud, SD 57570 | 2007-03-06 |
| 1184753147 | Lower Brule Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1 Clinic Blvd, Lower Brule, SD 57548 | 2007-03-05 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
| 1790815363 | Pine Ridge Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Highway 18 East, Pine Ridge, SD 57770 | 2007-03-06 |
| 1548390115 | Wagner Indian Health Care Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2007-03-06 |
| 1184753337 | Rapid City Indian Health Service | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2007-03-05 |
| 1801925060 | Sisseton Wahpeton Oyate Healthcare Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2007-03-05 |
| 1770610842 | Eagle Butte Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 317 Main St, Eagle Butte, SD 57625 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MCLAUGHLIN |
| Zip Code | 57642 |
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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.