AVERA MCKENNAN NPI 1205311628

NPI Details

AVERA MCKENNAN is a pharmacy in Sioux Falls, SD. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. AVERA MCKENNAN NPI is 1205311628. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera On Louise Pharmacy.

The provider's business location address is:

6100 S LOUISE AVE STE 1100
SIOUX FALLS, SD
ZIP 57108-021
Phone: (605) 504-1351
Fax: (605) 504-1352

The provider's authorized official is Ronald Joseph Place .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7903.

The CLIA number assigned to this NPI record is 43D2171470 - hospital with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Fee covid-19 vac 13 res (HCPCS:0124A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 10/2/2018 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: