Timothy Allen Habeck, PHARMD

Individual provider Active NPI Pharmacist · Sioux Falls, SD

NPI 1124754304 · NPPES record last updated Mar 11, 2025

Key facts

NPI
1124754304
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5983 (SD)
Practice address
800 N Yankee Ave
Sioux Falls, SD 57110-8575
Phone
(712) 229-0143
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5983SDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5983 SD Yes

Addresses

Primary practice location

800 N Yankee Ave
Sioux Falls, SD 57110-8575

Mailing address

800 N Yankee Ave
Sioux Falls, SD 57110-8575
Phone (712) 229-0143

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.