Individual provider Active NPI

Teresa J Broers Orlando, PHARMD

  • Pharmacist
  • Dakota Dunes, SD
National Provider Identifier
1225199086
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
R5312 Issued in SD
Practice address
101 Tower Rd Ste 130
Dakota Dunes, SD 57049-5098
Phone
(605) 242-5050
Fax
(605) 242-5052
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
R5312SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunes Family Pharmacy Inc Current Accepting new patients

Locations

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R5312 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Tower Rd Ste 130
Dakota Dunes, SD 57049-5098

Mailing address

101 Tower Rd Ste 130
Dakota Dunes, SD 57049-5098
Phone (605) 242-5050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2008.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1225199086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 130",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495098",
            "telephone_number": "605-242-5050",
            "fax_number": "605-242-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 130",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495098",
            "telephone_number": "605-242-5050",
            "fax_number": "605-242-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROERS ORLANDO",
        "first_name": "TERESA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "R5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 18, 2008; 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.