MR. TOM DALE IVERSON


Address: 1415 Eglin St., Rapid City, SD 57703
Phone: 6053418621

MR. TOM DALE IVERSON (NPI# 1770878944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770878944
Entity Type Individual
Full Name MR. TOM DALE IVERSON
Credential RPH
Practice Address 1415 Eglin St.
Rapid City
SD 57703
Practice Telephone 6053418621
Practice Fax Number 6053418631
Mailing Telephone 6053418621
Mailing Fax Number 6053418631
Enumeration Date 2011-06-15
Last Update Date 2011-06-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 4048 SD Pharmacy Service Providers

Office Location

Street Address 1415 EGLIN ST.
City RAPID CITY
State SD
Zip Code 57703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376197533 Richard Brady Perdue Dentist 2606 Elderberry Blvd, Rapid City, SD 57703 2019-07-26
1700125259 Rapid City Regional Hospital, Inc. Pharmacy 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 2013-02-04
1689912875 Rocky Mountain Holdings LLC Ambulance 4025 Lacroix Ct, Rapid City, SD 57703 2013-01-22
1083900310 Olivia Bingaman Nurse Practitioner 1760 Centre St Ste B, Rapid City, SD 57703 2011-06-24
1770944498 Richard Scott Wiley Counselor 4951 Hansen Ln, Rapid City, SD 57703-0147 2016-03-08
1811271331 Kelli Jo Birdsall Speech-Language Pathologist 4840 Homestead St, Rapid City, SD 57703-0194 2011-10-03
1932658762 Lyndsay Farnsworth Registered Nurse 4840 Homestead St, Rapid City, SD 57703-0194 2016-09-21
1790953198 Michele Ann Solano Occupational Therapist 1221 Aurora Dr, Rapid City, SD 57703-0198 2008-02-19
1902204894 Delain Kay Johnson Counselor 1501 Centre St, Suite 106, Rapid City, SD 57703-3002 2014-12-09
1609238203 Christopher Harley Hastings Counselor 1501 Centre St, Rapid City, SD 57703-3002 2016-03-23
Find all providers in zip 57703

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932654712 Theresa Michael Pharmacist 2114 Stirling St, Rapid City, SD 57702-4206 2016-08-22
1427390319 Teresa Eastman Pharmacist 1906 Lombardy Dr, Suite 101, Rapid City, SD 57703-4132 2013-03-19
1275822108 Farzaneh Tavassoli Fortier Pharmacist 2650 Mt Rushmore Rd, Rapid City, SD 57701 2011-03-31
1811297526 Ray A Winsel Pharmacist 730 Mt View Rd, Rapid City, SD 57702-2519 2010-10-27
1699098533 Kelly D Jerred Pharmacist 1111 E North St, Rapid City, SD 57701-1747 2010-03-06
1740414309 Charles Martin Bahr Pharmacist 3200 Cayon Lake Drive Room 235, Phs Indian Hospital, Rapid City, SD 57702 2009-05-12
1760629778 Charles A Knowlton Pharmacist 935 City Springs Rd, Rapid City, SD 57702-0239 2009-01-13
1609913383 Brian P. Bolinske Pharmacist 23831 Ranch View Ct, Rapid City, SD 57702-7367 2007-01-31
1942352414 Michelle Litzen Pharmacist 2201 Jackson Blvd Ste 101, Rapid City, SD 57702-4339 2007-01-17
1942396759 Paula Gail Stotz Pharmacist 730 Mt. View Rd., Rapid City, SD 57702 2006-10-05
Find all providers in RAPID CITY

Competitor

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City RAPID CITY
Zip Code 57703

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Dataset Information

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.

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