KYLE IHS CLINIC PHARMACY (NPI# 1720117740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720117740 |
| Entity Type | Organization |
| Organization Name | KYLE IHS CLINIC PHARMACY |
| Other Organization Name | KYLE IHS CLINIC PHARMACY |
| Practice Address |
1000 Health Center Circle Kyle SD 57752 |
| Mailing Address |
3103 Solutions Ctr Chicago IL 60677-3001 |
| Practice Telephone | 6054558225 |
| Practice Fax Number | 6054552808 |
| Enumeration Date | 2007-03-05 |
| 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 |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4304945 | 01 |
| Other Name | Type Code |
|---|---|
| KYLE IHS CLINIC PHARMACY | Doing Business As Name - Organization |
| Street Address |
1000 HEALTH CENTER CIRCLE |
| City | KYLE |
| State | SD |
| Zip Code | 57752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437466307 | Lisa Michelle Hunter | Pharmacist | 1000 Health Center Circle, Kyle, SD 57752 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
| 1538534052 | Emmaline Elk | Registered Nurse | 100 Health Center Road, Kyle, SD 57752 | 2015-12-09 |
| 1841508074 | Oglala Lakota College- Head Start/ Early Head Start Program | Local Education Agency (LEA) | 490 Piya Wiconi Road, Kyle, SD 57752 | 2010-09-22 |
| 1629227202 | Kyle Health Center | Clinic/Center | 1000 Health Center Rd., Kyle, SD 57752 | 2008-09-18 |
| 1972720829 | James Edward Mcconkey | Pharmacist | 1000 Health Care Drive, Kyle, SD 57752 | 2007-04-20 |
| 1427165836 | Diane M Reeves | Pharmacist | 1000 Health Service Dr., Kyle I.h.s. Out Patient Clinic, Kyle, SD 57752 | 2006-08-23 |
| 1548210131 | Gregory J Flaitz | Optometrist | 1000 Health Center Drive, Kyle Health Center Ihs, Kyle, SD 57752 | 2006-05-12 |
| 1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
| 1699759001 | Ellen Stephen Hospice and Homecare | Registered Nurse | 1 Main, Kyle, SD 57752 | 2005-11-30 |
| 1043219587 | William Robert Wagner | Social Worker | 1000 Health Center Road, Kyle Health Center / Dhhs/ihs, Kyle, SD 57752 | 2005-07-18 |
| Find all providers in zip 57752 | ||||
| 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 |
| 1093845653 | Mclaughlin Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 701 East 6th St, Mclaughlin, SD 57642-0879 | 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 |
| 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 | ||||
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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.