Individual provider Active NPI

Elaine Gilfillan

  • Pharmacist
  • Pine Ridge, SD
National Provider Identifier
1215547971
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP454240 Issued in PA
Practice address
607 Indian Health Rd
Pine Ridge, SD 57770-3169
Phone
(605) 867-5131
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0005487 DE
Pharmacist 183500000X RP454240 PA Primary

Addresses

Primary practice location

607 Indian Health Rd
Pine Ridge, SD 57770-3169

Mailing address

11983 Sundance Dr
Hot Springs, SD 57747-6011

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
A1-0005487DEMDPharmacist
RP454240PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital PastSince Aug 9, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital PastSince Aug 9, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1215547971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11983 SUNDANCE DR",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577476011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 INDIAN HEALTH RD",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577703169",
            "telephone_number": "605-867-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILFILLAN",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0005487",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Ridge, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.