Active NPI
Family Drug Inc
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1144394909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 100-1006
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8500230 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
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.