Organization Active NPI

Family Drug Inc

  • Pharmacist
  • Sioux Falls, SD
National Provider Identifier
1144394909
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
100-1006 Issued in SD
Legal business name
FAMILY DRUG INC
Practice address
423 S Minnesota Ave
Sioux Falls, SD 57104-6815
Phone
(605) 336-0445
Fax
(605) 575-9187
NPI assigned
Nov 20, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Mr. Lyle A Boes, R.PH.
Title
Pharmacist Owner
Phone
(605) 336-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 100-1006 SD Primary

Addresses

Primary practice location

423 S Minnesota Ave
Sioux Falls, SD 57104-6815

Mailing address

423 S Minnesota Ave
Sioux Falls, SD 57104-6815
Phone (605) 336-0445

Other identifiers 1

IdentifierTypeStateIssuer
8500230MedicaidSD

National Provider Directory

National Provider Directory

Locations

423 S Minnesota Ave
Sioux Falls, SD 57104
Phone (605) 336-0445

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1144394909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046815",
            "telephone_number": "605-336-0445",
            "fax_number": "605-575-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046815",
            "telephone_number": "605-336-0445",
            "fax_number": "605-575-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "BOES",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "605-336-0445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "100-1006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500230",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.