Main Street Pharmacy I Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100-1825 Issued in SD

Legal business name

MAIN STREET PHARMACY I CORP

Practice address

105 N Broadway Ave
Marion, SD 57043-2058

Phone

(605) 648-3751

Fax

(605) 648-3179

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Norm Kaufman

Title

Corp. Pres

Phone

(605) 925-7059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Getskow Pharmacy Doing business as

Practitioners 1

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

• Katherine Hattervig

  • Pharmacist
  • Wells, MN
  • NPI 1952754087
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1104257658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 S MAIN ST",
            "address_2": "PO BOX 120",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570292337",
            "telephone_number": "605-925-7059",
            "fax_number": "605-925-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BROADWAY AVE",
            "city": "MARION",
            "state": "SD",
            "postal_code": "570432058",
            "telephone_number": "605-648-3751",
            "fax_number": "605-648-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY I CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "NORM",
        "authorized_official_title_or_position": "CORP. PRES",
        "authorized_official_telephone_number": "605-925-7059"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Getskow Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan
• Community Ambulance Service
• Dr RJ Schmidtpc
• Freeman Regional Health Services
• David A. Haiar, D.D.S.
• Queena M Getskow
• Rural Medical Clinics, PA
• Saunders Chiropractic & Wellness
• Jon T Saunders, D.C.
• Southeastern Electric Cooperative, Inc

• Community/Retail Pharmacy in Marion, SD
• Providers in Marion, SD by specialty
• Community/Retail Pharmacy in South Dakota

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

Verify at the official NPI Registry.