Sanford Medical Center
Organization Active NPI Community/Retail Pharmacy · Sioux Falls, SD
NPI 1104302702 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1104302702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 100-2055 (SD)
- Legal business name
- SANFORD MEDICAL CENTER
- Practice address
- 136 S Phillips Ave
Sioux Falls, SD 57104-6706 - Phone
- (605) 367-2390
- Fax
- (605) 367-2399
- NPI assigned
- Jul 17, 2018
- Organization subpart
- No
Authorized official
- Name
- April Stein
- Title
- Pharmacy Operations Coordinator
- Phone
- (605) 367-2850
Other NPIs on the same Medicare enrollment 15
Corporate family (same tax ID) 47
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lewis Family Drug #14 |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Nebulizer Equipment and/or Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040507000068 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931198876 |
15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brandon, SD; Brookings, SD; Howard, SD; Huron, SD; Madison, SD; Sioux Falls, SD; Tea, SD |
National Provider Directory
- Tax ID family
- Sanford Medical Center Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 100-2055 | SD | Yes |
Addresses
Primary practice location
136 S Phillips Ave
Sioux Falls, SD 57104-6706
Mailing address
2701 S Minnesota Ave Ste 1
Sioux Falls, SD 57105-4746
Other names
- Lewis Drug #14
Other providers in Sioux Falls, SD
- Sanford Healthcare Accessories, LLC
- Sanford Home Health
- Sanford Home Health
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
All providers in Sioux Falls, SD · Community/Retail Pharmacy in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.