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AVERA MCKENNAN NPI 1750442901


NPI Information

NPI: 1750442901
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MCKENNAN CAMPUS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1325 S CLIFF AVE
SUITE CP
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-8326
Get Directions

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 1750442901. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Mckennan Campus Pharmacy.

The provider's business location address is:

1325 S CLIFF AVE
SUITE CP
SIOUX FALLS, SD
ZIP 57105-008
Phone: (605) 322-8326
Fax: (605) 322-8330

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 enumeration date for this NPI number is 12/12/2006 and was last updated on 10/6/2023.


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
13336C0003XPharmacyCommunity/Retail Pharmacy1000452SOUTH DAKOTANo
2333600000XPharmacyYes

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
14304010OTHEROTHER ID NUMBER
21750442901MEDICAIDIOWA
38503150MEDICAIDSOUTH DAKOTA
41750442901MEDICAIDMINNESOTA

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.