Lower Brule IHS Clinic Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

LOWER BRULE IHS CLINIC PHARMACY

Practice address

1 Clinic Blvd
Lower Brule, SD 57548

Phone

(605) 473-8226

Fax

(605) 473-0607

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

James Cummings, PD

Title

Pharmacy Program Specialist

Phone

(405) 951-6086

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LOWER BRULE IHS CLINIC PHARMACY Doing business as

Tax ID family

Lower Brule HLTH Ctr IHS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lower Brule Health Center

  • Clinical Medical Laboratory
  • Lower Brule, SD
  • NPI 1033238498
  NPD tax ID

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1184753147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLINIC BLVD",
            "city": "LOWER BRULE",
            "state": "SD",
            "postal_code": "57548",
            "telephone_number": "605-473-8226",
            "fax_number": "605-473-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER BRULE IHS CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "405-951-6086",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4304882",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549020",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOWER BRULE IHS CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indian Health Services
• Desiree Nolene Laroche, LPN
• Lower Brule Ambulance
• Lower Brule Health Center
• Lower Brule Health Center IHS
• Lower Brule Mental Health
• Lower Brule Sioux Tribe
• Lower Brule Sioux Tribe
• Lower Brule Sioux Tribe
• Lower Brule Sioux Tribe

• All providers in Lower Brule, SD
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.