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AVERA MCKENNAN NPI 1346266202


NPI Information

NPI: 1346266202
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA SPECIALTY PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
500 E 56TH ST N STE 3150
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 322-8300
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AVERA MCKENNAN is a specialty pharmacy pharmacy in Sioux Falls, SD. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. AVERA MCKENNAN NPI is 1346266202. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Specialty Pharmacy.

The provider's business location address is:

500 E 56TH ST N STE 3150
SIOUX FALLS, SD
ZIP 57104-408
Phone: (605) 322-8300
Fax: (605) 322-8361

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

The enumeration date for this NPI number is 7/14/2006 and was last updated on 9/7/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy261725MINNESOTANo
33336C0003XPharmacyCommunity/Retail Pharmacy3254IOWANo
43336S0011XPharmacySpecialty Pharmacy30747TEXASNo
53336S0011XPharmacySpecialty PharmacyY006781ARIZONANo
63336S0011XPharmacySpecialty Pharmacy637NEBRASKANo
73336S0011XPharmacySpecialty PharmacyPHAR396NORTH DAKOTANo
83336S0011XPharmacySpecialty Pharmacy100-1867SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18504220MEDICAIDSOUTH DAKOTA
21346266202MEDICAIDIOWA
31346266202MEDICAIDMINNESOTA
4100261606-00MEDICAIDNEBRASKA
52094315OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.