Active NPI
Jessie Lynn Graney, PHARM.D.
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1093967192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5403
- Practice address
- 6100 S Louise Ave Ste 1100
Sioux Falls, SD 57108-6030 - Phone
- (605) 504-1351
- Fax
- (605) 504-1352
- NPI assigned
- Oct 21, 2008
- Last updated
- Jul 31, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20473 | IA | |
| Pharmacist | 183500000X | 118228 | MN | |
| Pharmacist | 183500000X | 12433 | NE | |
| Pharmacist | 183500000X | 5403 | SD | Primary |
Addresses
Primary practice location
6100 S Louise Ave Ste 1100
Sioux Falls, SD 57108-6030
Mailing address
6100 S Louise Ave Ste 1100
Sioux Falls, SD 57108-6030
Phone (605) 504-1351
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12433 | NE | MD | Mental Health Counselor |
| 20473 | IA | MD | Pharmacist |
| 118228 | MN | MD | Pharmacist |
| 5403 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
6100 S Louise Ave
Ste 1100
Sioux Falls, SD 57108
Phone (605) 322-8630
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1093967192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 S LOUISE AVE STE 1100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086030",
"telephone_number": "605-504-1351",
"fax_number": "605-504-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 S LOUISE AVE STE 1100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086030",
"telephone_number": "605-504-1351",
"fax_number": "605-504-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANEY",
"first_name": "JESSIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2023-07-31",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20473",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118228",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12433",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.