Active NPI
Paul Kelly O'Neill, RPH
- Pharmacist
- Huron, SD
National Provider Identifier
1013339118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R5306
- Practice address
- 2791 Dakota Ave S
Huron, SD 57350-4411 - Phone
- (605) 353-9513
- Fax
- (605) 353-9515
- NPI assigned
- Jan 9, 2014
- Last updated
- Jan 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5540 | NM | |
| Pharmacist | 183500000X | R5306 | SD | Primary |
Addresses
Primary practice location
2791 Dakota Ave S
Huron, SD 57350-4411
Mailing address
2791 Dakota Ave S
Huron, SD 57350-4411
Phone (605) 353-9513
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5306 | SD | MD | Pharmacist |
| 5540 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1013339118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2791 DAKOTA AVE S",
"city": "HURON",
"state": "SD",
"postal_code": "573504411",
"telephone_number": "605-353-9513",
"fax_number": "605-353-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2791 DAKOTA AVE S",
"city": "HURON",
"state": "SD",
"postal_code": "573504411",
"telephone_number": "605-353-9513",
"fax_number": "605-353-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "PAUL KELLY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-09",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "5540",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "R5306",
"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 Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.