Mark E Graham, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4179 Issued in SD

Practice address

818 W Havens St
Mitchell, SD 57301-3830

Phone

(605) 996-5321

Fax

(605) 996-6090

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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.

• Graham Pharmacy

  dba Graham Pharmacy Inc

  • Clinic Pharmacy
  • Mitchell, SD
  • NPI 1699719906
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003989146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013830",
            "telephone_number": "605-996-5321",
            "fax_number": "605-996-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013830",
            "telephone_number": "605-996-5321",
            "fax_number": "605-996-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Graham Pharmacy (Graham Pharmacy Inc)
• William Noble Graham, D.O.
• Brooke Graves
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• Mollie Jean Greenway, MS, RD, LN
• Sheila Dawn Grieve, O.D.

• Pharmacist in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.