Wullstein Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WULLSTEIN PHARMACY INC.

Doing business as

Brandon Pharmacy

Practice address

116 E Holly Blvd
Brandon, SD 57005-1114

Phone

(605) 582-6000

Fax

(605) 582-6200

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Tom Wullstein, PHARMD

Title

Owner

Phone

(605) 582-6000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brandon Pharmacy 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.

• Jessica Ann Bebensee, PHARMD

  • Pharmacist
  • Brandon, SD
  • NPI 1164947644
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1033437223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052658",
            "telephone_number": "605-582-6000",
            "fax_number": "605-582-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051114",
            "telephone_number": "605-582-6000",
            "fax_number": "605-582-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WULLSTEIN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "WULLSTEIN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-582-6000",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504600",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi Ann Williams, LPC MH
• Brenda R Winter, LPCMH
• Ashley Marie Woodley, NCC, LPC-MH, RPT
• Alexander S Woods, DDS
• Julie R Wooters, OTR/L
• Wyatt Urlacher Psychotherapy
• Wyatt Urlacher Psychotherapy
• Zeal Therapy LLC
• Rebecca Zenk
• Samuel Max Zollicker, M.D.

• Community/Retail Pharmacy in Brandon, SD
• Providers in Brandon, 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 28, 2022; 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.