MEDVANTX INC (NPI# 1235371535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235371535 |
| Entity Type | Organization |
| Organization Name | MEDVANTX INC |
| Other Organization Name | MEDVANTX INC |
| Practice Address |
2503 E 54th St N Ste M Sioux Falls SD 57104-5563 |
| Practice Telephone | 6059783980 |
| Practice Fax Number | 8888258473 |
| Mailing Telephone | 6059783980 |
| Mailing Fax Number | 8888258473 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | SEAN HARMS (CHIEF PHARMACIST) |
| Authorized Official Telephone | 6059783963 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
1001950 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2119886 | 01 |
| Other Name | Type Code |
|---|---|
| MedVantx Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912314642 | Medvantx Inc | Pharmacy | 1860 Outer Loop Ste 348, Louisville, KY 40219-3429 | 2014-07-15 |
| 1992764377 | Medvantx Inc | Pharmacy | 5810 Nancy Ridge Dr, Suite 100, San Diego, CA 92121-2834 | 2006-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MedVantx Inc. | 5151 Shoreham Place, Suite 250, San Diego, California 92122 |
| Street Address |
2503 E 54TH ST N STE M |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073692745 | Ameripharm Inc | Pharmacy | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2006-11-03 |
| 1760082564 | Michaela Bunde | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2020-10-29 |
| 1871101287 | Shaymous Juhnke | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2020-07-21 |
| 1598145757 | Sean Harms | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-06-03 |
| 1962897413 | David Kuper | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-04-01 |
| 1265827760 | Ronald Dean Bertsch | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-04-01 |
| 1376938951 | Jess Hanson | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-04-01 |
| 1457746042 | Amy Lo | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-04-01 |
| 1891189981 | Misti Albers | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-03-26 |
| 1639563059 | Chad Allen Fjeldheim | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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] |
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on MEDVANTX INC.
| 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.