EAGLE BUTTE IHS HOSPITAL PHARMACY (NPI# 1770610842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770610842 |
| Entity Type | Organization |
| Organization Name | EAGLE BUTTE IHS HOSPITAL PHARMACY |
| Other Organization Name | EAGLE BUTTE IHS HOSPITAL PHARMACY |
| Practice Address |
317 Main St Eagle Butte SD 57625 |
| Mailing Address |
3109 Solutions Ctr Chicago IL 60677-3001 |
| Practice Telephone | 6059640654 |
| Practice Fax Number | 6059641110 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| 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 | 4304933 | 01 | |
| SD | 5549080 | 05 |
| Other Name | Type Code |
|---|---|
| EAGLE BUTTE IHS HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
317 MAIN ST |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215205372 | Seth Volk | Registered Nurse | 317 Main St, Eagle Butte, SD 57625 | 2011-12-05 |
| 1659648632 | Kathleen Ione Red Dog | Registered Nurse | 317 Main St, Eagle Butte, SD 57625 | 2011-11-19 |
| 1568748689 | Robyn Ann Lemke | Registered Nurse | 317 Main St, Eagle Butte, SD 57625 | 2011-11-03 |
| 1851677405 | Tonia Beth Kraft | Registered Nurse | 317 Main St, Eagle Butte, SD 57625-1012 | 2011-10-27 |
| 1003045345 | Indian Health Services | General Acute Care Hospital | 317 Main St, Eagle Butte, SD 57625 | 2009-07-08 |
| 1649409988 | Tausha Kae Kraft | Registered Nurse | 317 Main St, Eagle Butte, SD 57625 | 2009-07-08 |
| 1881844728 | Indian Health Service | General Acute Care Hospital | 317 Main St, Eagle Butte, SD 57625-0317 | 2008-09-29 |
| 1669508610 | Mark D Black | Pharmacist | 317 Main St, Eagle Butte, SD 57625 | 2007-02-26 |
| 1447369541 | Mark Marian Witoszka | Family Medicine | 317 Main St, Eagle Butte, SD 57625-1012 | 2006-08-30 |
| 1083688329 | Beth Renae Sieler | Pharmacist | 317 Main St, Eagle Butte, SD 57625 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998359 | Jill M Marshall | Registered Nurse | 24279 166th St. Airport Road, Eagle Butte, SD 57625 | 2020-06-29 |
| 1871110890 | Stephen Andrew Williams | Registered Nurse | 24767 166th St, Eagle Butte, SD 57625 | 2020-06-26 |
| 1730706706 | Shannon Renee Brautigan | Registered Nurse | 24276 166th Street Airport Rd., Eagle Butte, SD 57625 | 2020-06-25 |
| 1598327827 | Lucy Manu | Pharmacist | 24276 166th Street; Airport Road, Eagle Butte, SD 57625 | 2019-07-08 |
| 1518429539 | Lisa Marie Brower | Registered Nurse | 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 | 2019-04-01 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1619455540 | Alycia Oster | Registered Nurse | 24276 166th St Airport Rd, Eagle Butte, SD 57625 | 2018-08-02 |
| 1447765987 | Deidra Monique Hall | Nurse's Aide | 211 S Spiel Court, Eagle Butte, SD 57625 | 2017-12-06 |
| 1295271070 | Cree Iron Cloud | Registered Nurse | #24276 Airport Rd, Eagle Butte, SD 57625 | 2017-01-17 |
| 1922452531 | Holly Mattern | Registered Nurse | 24276 166th Street Airport Rd, Eagle Bute, SD 57625 | 2016-04-20 |
| Find all providers in zip 57625 | ||||
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE BUTTE |
| Zip Code | 57625 |
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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.