Fort Thompson Ihc Clinic Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

FORT THOMPSON IHC CLINIC PHARMACY

Doing business as

FORT THOMPSON IHC CLINIC PHARMACY

Practice address

Hwy 47 and Hwy 34
Fort Thompson, SD 57339

Phone

(605) 245-1545

Fax

(605) 245-2384

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

James Cummings, PHARMD

Title

Pharmacy Program Specialist

Phone

(405) 951-6086

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FORT THOMPSON IHC CLINIC PHARMACY Doing business as

Tax ID family

Ft Thompson Indian HLTH SVC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Thompson Indian Health Service

  • Community Health Worker
  • Fort Thompson, SD
  • NPI 1306583372
  NPD tax ID
• Ft Thompson Health Center

  • Health Service Clinic/Center
  • Ft. Thompson, SD
  • NPI 1932523644
  NPD tax ID
• Ft Thompson IHS Health Center

  • Federal Public Health Clinic/Center
  • Ft Thompson, SD
  • NPI 1720402498
  NPD tax ID

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1033248059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 47 AND HWY 34",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "57339",
            "telephone_number": "605-245-1545",
            "fax_number": "605-245-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT THOMPSON IHC CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "405-951-6086",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4304793",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT THOMPSON IHC CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crow Creek Sioux Tribe
• Robert Carl Douville II, RN
• Helen Ranea Eimers, RN
• Mashaya Engel
• David Brian Foley, DDS
• Fort Thompson Indian Health Service
• Fort Thompson Indian Health Service
• Mark S Foster, PHARMD
• Ft Thompson Health Center
• Ft Thompson IHS Health Center

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Fort Thompson, SD
• Providers in Fort Thompson, SD by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.