AVERA ST. MARY'S (NPI# 1932651122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932651122 |
| Entity Type | Organization |
| Organization Name | AVERA ST. MARY'S |
| Other Organization Name | AVERA ST. MARY'S CAMPUS PHARMACY |
| Practice Address |
100 Mac Ln Suite 101 Pierre SD 57501-3391 |
| Practice Telephone | 6052247334 |
| Practice Fax Number | 6059454292 |
| Mailing Telephone | 6052247334 |
| Mailing Fax Number | 6059454292 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | DARREL MUTCHLER (DIRECTOR RETAIL PHARMACY) |
| Authorized Official Telephone | 6053228331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
100-2044 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2165791 | 01 |
| Other Name | Type Code |
|---|---|
| Avera St. Mary's Campus Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972082683 | Avera St. Mary's | Physical Therapist | 900 E Church St, Pierre, SD 57501-2219 | 2018-08-13 |
| 1871921841 | Avera St. Mary's | Anesthesiology | 100 Mac Ln, Pierre, SD 57501-3391 | 2013-10-29 |
| 1124464128 | Avera St. Mary's | Clinic/Center | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-05-16 |
| Street Address |
100 MAC LN SUITE 101 |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770514234 | Vilas Pharmacy | Durable Medical Equipment & Medical Supplies | 100 Mac Ln, Suite #2, Pierre, SD 57501-3391 | 2006-07-05 |
| 1134750011 | Kacey Beth Hutchison | Social Worker | 100 Mac Ln, Pierre, SD 57501-3391 | 2020-01-30 |
| 1578028981 | Jada Hawkinson | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2019-02-11 |
| 1205308095 | Wren Hollingsworth | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-12-18 |
| 1326518556 | Jessica Rumpca | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-11-30 |
| 1750865192 | Kelsey Marie Hupp | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-21 |
| 1073097895 | Ali Marie Smith | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-18 |
| 1609357623 | Brittany Bo Kerr | Physician Assistant | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-08-27 |
| 1881196319 | Allison Jo Bradshaw | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501 | 2018-02-28 |
| 1073063905 | Ericka Leslie Petersen | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508940693 | Walgreen Co | Pharmacy | 100 E Sioux Ave, Pierre, SD 57501-3196 | 2006-10-25 |
| 1730284845 | Van R Inc | Pharmacy | 633 E Sioux Ave, Pierre, SD 57501-3368 | 2006-09-13 |
| 1265481402 | Dakotamart Inc | Pharmacy | 120 W Sioux Ave, Pierre, SD 57501-2425 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868514 | Dakota Pharms, LLC | Pharmacy | 120 Commercial Ave Se, Highmore, SD 57345-2145 | 2019-12-17 |
| 1831675438 | Lewis Drugs, Inc. | Pharmacy | 2525 S Ellis Rd, Sioux Falls, SD 57106-7066 | 2018-07-17 |
| 1104302702 | Lewis Drugs, Inc. | Pharmacy | 136 S Phillips Ave, Sioux Falls, SD 57104-6706 | 2018-07-17 |
| 1316463219 | Avera Mckennan | Pharmacy | 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 | 2017-08-22 |
| 1487109690 | Monument Health Home Plus, LLC | Pharmacy | 2006 Mount Rushmore Rd Ste 2, Rapid City, SD 57701-4622 | 2016-08-17 |
| 1316342306 | Dpx Enterprises, Inc. | Pharmacy | 5028 S Cliff Ave, Sioux Falls, SD 57108-5432 | 2014-11-03 |
| 1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1609178565 | Hy Vee Inc | Pharmacy | 2700 W 10th St, Sioux Falls, SD 57104-2547 | 2010-11-29 |
| 1447450994 | Your Daily Dose, Inc. | Pharmacy | 220 South Cliff Ave., Harrisburg, SD 57032 | 2007-07-23 |
| 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.