Organization Active NPI

James Pharmacy Inc

Doing business as James Drug

  • Community/Retail Pharmacy
  • Wagner, SD
National Provider Identifier
1205973732
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JAMES PHARMACY INC
Doing business as
James Drug
Practice address
201 Main St.
Wagner, SD 57380
Phone
(605) 384-3541
Fax
(605) 384-3079
NPI assigned
Feb 1, 2007
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Daniel Fiebelkorn
Title
Pharmacist
Phone
(605) 384-3541

Specialties & licenses 1

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

Addresses

Primary practice location

201 Main St.
Wagner, SD 57380

Mailing address

201 S Main Ave
Wagner, SD 57380-1727
Phone (605) 384-3541

Other identifiers 1

IdentifierTypeStateIssuer
8500502MedicaidSD

Other names 1

  • James Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180123003136 SD DME Supplier - Pharmacy 5698034411 Practice locations: Wagner, 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
James Pharmacy Inc201 S Main Ave, Wagner, SD 57380-1727(605) 384-3541 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Oct 9, 2017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1205973732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN AVE",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573801727",
            "telephone_number": "605-384-3541",
            "fax_number": "605-384-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST.",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "57380",
            "telephone_number": "605-384-3541",
            "fax_number": "605-384-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "FIEBELKORN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "605-384-3541"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500502",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wagner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.