Organization Active NPI

Kendalls Rexall Pharmacy Inc

Doing business as Kendalls Home Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Brookings, SD
National Provider Identifier
1114062072
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KENDALLS REXALL PHARMACY INC
Doing business as
Kendalls Home Medical Services
Practice address
223 6TH St
Brookings, SD 57006
Phone
(605) 692-4461
Fax
(605) 692-0845
NPI assigned
Feb 20, 2007
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Michelle Friedrich
Title
Owner
Phone
(605) 692-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

223 6TH St
Brookings, SD 57006

Mailing address

223 6TH Street
Brookings, SD 57006
Phone (605) 692-4461

Other identifiers 3

IdentifierTypeStateIssuer
9161180MedicaidSD
361882000OtherMNMINNESOTA HEALTH CARE
4998872OtherWELLMARK BLUE CROSS BLUE

Other names 1

  • Kendalls Home Medical Services Doing business as

National Provider Directory

National Provider Directory

Locations

223 6th St
Brookings, SD 57006
Phone (605) 692-4461

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1114062072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 6TH STREET",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-692-4461",
            "fax_number": "605-692-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-692-4461",
            "fax_number": "605-692-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALLS REXALL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-692-4461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9161180",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA HEALTH CARE",
            "identifier": "361882000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE",
            "identifier": "4998872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendalls Home Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.