Organization Active NPI

Renner Corporation

Doing business as Rogers Family Pharmacy

  • Community/Retail Pharmacy
  • Yankton, SD
National Provider Identifier
1053344762
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100-0538 Issued in SD
Legal business name
RENNER CORPORATION
Doing business as
Rogers Family Pharmacy
Practice address
218 W 4TH St
Yankton, SD 57078-4301
Phone
(605) 665-8042
Fax
(605) 665-1998
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Roger Renner
Title
Owner
Phone
(605) 665-8042

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 100-0538 SD Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

218 W 4TH St
Yankton, SD 57078-4301

Mailing address

218 W 4TH St
Yankton, SD 57078-4301
Phone (605) 665-8042

Other identifiers 2

IdentifierTypeStateIssuer
2094170OtherPK
8503050MedicaidSD

Other names 1

  • ROGERS FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1053344762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W 4TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784301",
            "telephone_number": "605-665-8042",
            "fax_number": "605-665-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W 4TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784301",
            "telephone_number": "605-665-8042",
            "fax_number": "605-665-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENNER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-665-8042"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-0538",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8503050",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROGERS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.