Individual provider Active NPI

Kevin Lee Hed

  • Pharmacist
  • Aberdeen, SD
National Provider Identifier
1205399763
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4923 Issued in SD
Practice address
1409 6TH Ave SE Ste 2
Aberdeen, SD 57401-4950
Phone
(605) 262-0283
Fax
(605) 262-0214
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4923 SD Primary

Addresses

Primary practice location

1409 6TH Ave SE Ste 2
Aberdeen, SD 57401-4950

Mailing address

1409 6TH Ave SE Ste 2
Aberdeen, SD 57401-4950
Phone (605) 262-0283

Other identifiers 1

IdentifierTypeStateIssuer
4923OtherSDPHARMACY LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khed@lewisdrug.com Health Information Exchange (HIE)
CONNECT URL khed@lewisdrug.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4923SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Past Accepting new patients
Sanford Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1205399763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 2",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-262-0283",
            "fax_number": "605-262-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 2",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-262-0283",
            "fax_number": "605-262-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HED",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "4923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "4923",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khed@lewisdrug.com",
            "affiliation": "N",
            "endpointDescription": "business e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1409 6th Ave SE Ste 2",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574014950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "khed@lewisdrug.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1409 6th Ave SE Ste 2",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574014950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 11, 2019; 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.