NPIMap

Organization Active NPI

Sanford Vermillion Hospital Pharmacy

Doing business as Sanrord Vermillion Hospital Pharmacy

  • Institutional Pharmacy
  • Vermillion, SD
National Provider Identifier
1053456558
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
SANFORD VERMILLION HOSPITAL PHARMACY
Doing business as
Sanrord Vermillion Hospital Pharmacy
Practice address
20 S Plum St
Vermillion, SD 57069-3346
Phone
(605) 638-8455
Fax
(605) 624-8535
NPI assigned
Feb 21, 2007
Last updated
Feb 19, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SANFORD HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Carolyn Tuttle
Title
VP Revenue Cycle
Phone
(605) 328-8383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

20 S Plum St
Vermillion, SD 57069-3346

Mailing address

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 677-3660

Other identifiers 2

IdentifierTypeStateIssuer
8503670MedicaidSD
4302763OtherSDNCPCP NUMBER

Other names 1

  • Sanrord Vermillion Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Victoria C Smith MD49 organizations share this tax ID, including this one
Part of
Victoria C Smith MD

Other organizations with this tax ID 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1053456558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S PLUM ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693346",
            "telephone_number": "605-677-3660",
            "fax_number": "605-677-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PLUM ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693346",
            "telephone_number": "605-638-8455",
            "fax_number": "605-624-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD VERMILLION HOSPITAL PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD HEALTH NETWORK",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8383"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8503670",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPCP NUMBER",
            "identifier": "4302763",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanrord Vermillion Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.