Stateline Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

STATELINE DRUG INC

Doing business as

Smith's Drug

Practice address

301 Main Ave
Box 360
Lemmon, SD 57638-1419

Phone

(605) 374-3897

Fax

(605) 374-5510

NPI assigned

Dec 23, 2006

Last updated

Mar 3, 2021By 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

Eric Sonsalla, PHARM.DNPI 1598885410

Title

Pharmacist/Owner

Phone

(605) 374-3897

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Smith's Drug Doing business as

Locations

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.

• Eric S Sonsalla, PHARMD

  • Pharmacist
  • Baker, MT
  • NPI 1598885410
  NPD Authorized official

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1023173796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN AVE",
            "address_2": "BOX 360",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381419",
            "telephone_number": "605-374-3897",
            "fax_number": "605-374-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN AVE",
            "address_2": "BOX 360",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381419",
            "telephone_number": "605-374-3897",
            "fax_number": "605-374-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATELINE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "SONSALLA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "605-374-3897",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "100-0056",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8501362",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020209",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith's Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Live Center Inc. (Arrow Public Transit)
• Joseph Loncarevich, PA
• Allan McGough, MSW-LCSW-QMHP
• Patrick Poitra, LPC, QMHP
• Prairie Rose Suites Assisted Living (Lemmon Area Medical Association)
• Three Rivers Mental Health and Chemical Dependency Center (Three Rivers Counseling)
• West River Health Services (Lemmon Clinic)

• Community/Retail Pharmacy in Lemmon, SD
• Providers in Lemmon, 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 Mar 3, 2021; 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.