NPIMap

Organization Active NPI

Campus Pharmacy

  • Pharmacist
  • Mitchell, SD
National Provider Identifier
1124005269
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
100-1023 Issued in SD
Legal business name
CAMPUS PHARMACY
Practice address
525 N Foster St
Mitchell, SD 57301-2966
Phone
(605) 995-5670
Fax
(605) 996-6805
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Shawna Rae Heck, R.PH.
Title
Campus Pharmacy Manager
Phone
(605) 995-5670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 100-1023 SD Primary

Addresses

Primary practice location

525 N Foster St
Mitchell, SD 57301-2966

Mailing address

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5670

Other identifiers 2

IdentifierTypeStateIssuer
4303284OtherSDNABP#
8500080MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
ER Phy29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124005269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012966",
            "telephone_number": "605-995-5670",
            "fax_number": "605-996-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012966",
            "telephone_number": "605-995-5670",
            "fax_number": "605-996-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HECK",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CAMPUS PHARMACY MANAGER",
        "authorized_official_telephone_number": "605-995-5670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "100-1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "4303284",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500080",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.