Organization Active NPI

Dunes Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Dakota Dunes, SD
National Provider Identifier
1205010204
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DUNES FAMILY PHARMACY INC
Practice address
101 Tower Road
Ste 130
Dakota Dunes, SD 57049-5341
Phone
(605) 242-5050
NPI assigned
Dec 27, 2007
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Bill Orlando
Title
V.P. Operations
Phone
(605) 242-5050

Specialties & licenses 1

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

Addresses

Primary practice location

101 Tower Road
Ste 130
Dakota Dunes, SD 57049-5341

Mailing address

101 Tower Road
Ste 130
Dakota Dunes, SD 57049-5341
Phone (605) 242-5050

Other identifiers 4

IdentifierTypeStateIssuer
100-25-1014-00MedicaidNE
057-6645MedicaidIA
9162480OtherSDDME 9162480
850-2990MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930080648 SD DME Supplier - Pharmacy 0648488171 Practice locations: Dakota Dunes, SD
O20110912000419 SD Part B Supplier - Mass Immunization (Roster Biller Only) 0648488171 Practice locations: Dakota Dunes, SD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dunes Family Pharmacy Inc101 Tower Rd, Dakota Dunes, SD 57049-5098(605) 242-5050 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

101 Tower Rd
Ste 130
North Sioux City, SD 57049
Phone (605) 242-5050

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1205010204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "STE 130",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495341",
            "telephone_number": "605-242-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "STE 130",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495341",
            "telephone_number": "605-242-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNES FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "V.P. OPERATIONS",
        "authorized_official_telephone_number": "605-242-5050"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100-25-1014-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057-6645",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME 9162480",
            "identifier": "9162480",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850-2990",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.