Active NPI
David Alan Zimbrick, RPH
- Pharmacist
- Fort Thompson, SD
National Provider Identifier
1083050546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH0002789
- Practice address
- 1323 Bia Route 4
Fort Thompson, SD 57339-0000 - Phone
- (605) 245-1554
- NPI assigned
- May 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH0002789 | WA | Primary |
Addresses
Primary practice location
1323 Bia Route 4
Fort Thompson, SD 57339-0000
Mailing address
PO Box 200
Fort Thompson, SD 57339-0200
Phone (605) 245-1554
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH0002789 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1083050546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200",
"city": "FORT THOMPSON",
"state": "SD",
"postal_code": "573390200",
"telephone_number": "605-245-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 BIA ROUTE 4",
"city": "FORT THOMPSON",
"state": "SD",
"postal_code": "573390000",
"telephone_number": "605-245-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMBRICK",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH0002789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Thompson, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.