Beth J Sundahl, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

R5984 Issued in SD

Practice address

730 Mountain View Rd
Rapid City, SD 57702-2519

Phone

(605) 342-8505

Fax

(605) 342-8903

NPI assigned

Jul 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  dba Safeway Pharmacy #1554

  • Community/Retail Pharmacy
  • Rapid City, SD
  • NPI 1538198593
  NPD (past)
• Safeway Inc

  dba Safeway Pharmacy #0209

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1043598667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MOUNTAIN VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022519",
            "telephone_number": "605-342-8505",
            "fax_number": "605-342-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MOUNTAIN VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022519",
            "telephone_number": "605-342-8505",
            "fax_number": "605-342-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAHL",
        "first_name": "BETH",
        "middle_name": "J",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "18491",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "R5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josee Suess Carlin, CCDC III
• Wesley L Sufficool, DO
• Andrew Sullivan, DPT
• Emily Summers
• Summit Allergy Asthma ENT PLLC
• Sundog Rehabilitation LLC
• Charice Amber Suomala, CNP
• Surgical Solutions Professional Limited Liability Company
• Willis C Sutliff, M.D.
• Pamela D Sutto, BA

• Pharmacist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.