NPIMap

Organization Active NPI

Aberdeen Medical Center Pharmacy, Inc

Doing business as Plaza Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, SD
National Provider Identifier
1174612121
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1000518 Issued in SD
Legal business name
ABERDEEN MEDICAL CENTER PHARMACY, INC
Doing business as
Plaza Pharmacy
Practice address
2201 6TH Ave SE
Suite 23
Aberdeen, SD 57401-5130
Phone
(605) 225-6344
Fax
(605) 225-2695
NPI assigned
Oct 11, 2006
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ABERDEEN MEDICAL CENTER PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Mr. David James Taffe, RPHNPI 1669565065
Title
President
Phone
(605) 225-6344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1000518 SD Primary

Addresses

Primary practice location

2201 6TH Ave SE
Suite 23
Aberdeen, SD 57401-5130

Mailing address

2201 6TH Ave SE
Suite 23
Aberdeen, SD 57401-5130
Phone (605) 225-6344

Other identifiers 2

IdentifierTypeStateIssuer
8501740MedicaidSD
4302701OtherSDNABP#

Other names 1

  • Plaza Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Plaza Pharmacy

Locations

2201 6th Ave SE
Ste 23
Aberdeen, SD 57401
Phone (605) 225-6344

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1174612121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 6TH AVE SE",
            "address_2": "SUITE 23",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015130",
            "telephone_number": "605-225-6344",
            "fax_number": "605-225-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 6TH AVE SE",
            "address_2": "SUITE 23",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015130",
            "telephone_number": "605-225-6344",
            "fax_number": "605-225-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERDEEN MEDICAL CENTER PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABERDEEN MEDICAL CENTER PHARMACY, INC",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "TAFFE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-225-6344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "1000518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8501740",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "4302701",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.