Active NPI
Lavonne Isaak
- Pharmacy Technician
- Centerville, SD
National Provider Identifier
1043313950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T-0301
- Practice address
- 512 Broadway
Centerville, SD 57014-0070 - Phone
- (605) 563-2243
- Fax
- (605) 563-3784
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T-0301 | SD | Primary |
Addresses
Primary practice location
512 Broadway
Centerville, SD 57014-0070
Mailing address
141 Dakota Street
Centerville, SD 57014
Phone (605) 563-2116
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-0301 | SD | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043313950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 DAKOTA STREET",
"city": "CENTERVILLE",
"state": "SD",
"postal_code": "57014",
"telephone_number": "605-563-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 BROADWAY",
"city": "CENTERVILLE",
"state": "SD",
"postal_code": "570140070",
"telephone_number": "605-563-2243",
"fax_number": "605-563-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAK",
"first_name": "LAVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SD",
"license": "T-0301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, SD
- Centerville Community Ambulance Service, Inc.
- Centerville Development Corporation (Centerville Care and Rehab Center)
- Centerville School District 60-01
- Justin Delzer, D.C.
- Keri Anne Hansen, MS, OTR/L
- Nichole Johnson, M.A., CCC/SLP-L
- Michelle Lea Nelson, RPT
- Pioneer Memorial Hospital & Health Services (Centerville Medical Clinic)
- Pioneer Memorial Hospital &Health Services (Centerville Medical Clinic)
- Pioneer Memorial Hospital and Health Services (Centerville Community Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.