Wall Drug Store, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100-0054 Issued in SD

Legal business name

WALL DRUG STORE, INC.

Practice address

510 Main Street
Wall, SD 57790-0401

Phone

(605) 279-1931

Fax

(605) 279-1030

NPI assigned

Dec 27, 2006

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia S Dinger, PHARM D

Title

Pharmacist

Phone

(605) 279-1931

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sylvia Ann Smith

  • Pharmacy Technician
  • Wall, SD
  • NPI 1144823659
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1023173168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN STREET",
            "address_2": "P O BOX 401",
            "city": "WALL",
            "state": "SD",
            "postal_code": "577900401",
            "telephone_number": "605-279-1931",
            "fax_number": "605-279-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN STREET",
            "city": "WALL",
            "state": "SD",
            "postal_code": "577900401",
            "telephone_number": "605-279-1931",
            "fax_number": "605-279-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "DINGER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "605-279-1931",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-0054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapid City Regional Hospital, Inc. (Regional Health Medical Clinic)
• Regional Health Physicians Inc (Wall Regional Medical Clinic)
• Regional Health Physicians, Inc. (Wall Regional Medical Clinic)
• Regional Health Physicians, Inc. (Wall Regional Medical Clinic)
• Sylvia Ann Smith
• Wall Health Services, Inc.
• Wall School District #51-5

• Community/Retail Pharmacy in Wall, SD
• Providers in Wall, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.