Active NPI
Yankton Drug Co Inc
- Community/Retail Pharmacy
- Yankton, SD
National Provider Identifier
1013022052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1000473
- Legal business name
- YANKTON DRUG CO INC
- Practice address
- 109 W 3Rd St
Yankton, SD 57078-4320 - Phone
- (605) 665-7865
- Fax
- (605) 665-0452
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kuchta
- Title
- Terminated
- Phone
- (605) 665-7865
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1000473 | SD | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
109 W 3Rd St
Yankton, SD 57078-4320
Mailing address
109 W 3Rd St
Yankton, SD 57078-4320
Phone (605) 665-7865
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2093933 | Other | PK | |
| 8500250 | Medicaid | SD |
Other names 1
- YANKTON REXALL DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090827000120 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193870111 | Practice locations: Yankton, SD |
| O20100930000622 | SD | DME Supplier - Pharmacy | 5193870111 | Practice locations: Yankton, SD |
National Provider Directory
National Provider Directory- Tax ID family
- Yankton Drug Company
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Yankton, SD
- NPI 1346026796
Locations
109 W 3rd St
Yankton, SD 57078
Phone (605) 665-7865
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Yankton, SD
- NPI 1619968369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1013022052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 3RD ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784320",
"telephone_number": "605-665-7865",
"fax_number": "605-665-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 3RD ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784320",
"telephone_number": "605-665-7865",
"fax_number": "605-665-0452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YANKTON DRUG CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "KUCHTA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "TERMINATED",
"authorized_official_telephone_number": "605-665-7865"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SD",
"license": "1000473",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2093933",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8500250",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YANKTON REXALL DRUG",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "YANKTON REXALL DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.