Active NPI
Angela Le, PHARMD
- Pharmacist
- Huron, SD
National Provider Identifier
1003470162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6349
- Practice address
- 100 Dakota Ave N Ste a
Huron, SD 57350-1630 - Phone
- (605) 352-9222
- NPI assigned
- Apr 24, 2019
- Last updated
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6349 | SD | Primary |
Addresses
Primary practice location
100 Dakota Ave N Ste a
Huron, SD 57350-1630
Mailing address
223 Meriwether LN
Pierre, SD 57501-6266
Phone (267) 980-0037
Other practice location 1
202 Island Dr Ste 2
Fort Pierre, SD 57532-7303
Phone (605) 223-9200
Other practice location 2
1004 6th St
Brookings, SD 57006-2205
Phone (605) 692-2088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6349 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brothers Pharmacies, Inc. | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northside Pharmacy
- Community/Retail Pharmacy
- Huron, SD
- NPI 1922058890
Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1003470162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MERIWETHER LN",
"city": "PIERRE",
"state": "SD",
"postal_code": "575016266",
"telephone_number": "267-980-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DAKOTA AVE N STE A",
"city": "HURON",
"state": "SD",
"postal_code": "573501630",
"telephone_number": "605-352-9222"
}
],
"practiceLocations": [
{
"address_1": "202 Island Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Fort Pierre",
"state": "SD",
"postal_code": "575327303",
"country_code": "US",
"telephone_number": "605-223-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 6th St",
"address_purpose": "LOCATION",
"city": "Brookings",
"state": "SD",
"postal_code": "570062205",
"country_code": "US",
"telephone_number": "605-692-2088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "ANGELA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.