Individual provider Active NPI

Joel Engle, PHARMD

  • Pharmacist
  • Sioux Falls, SD
National Provider Identifier
1225422603
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6108 Issued in SD
Practice address
2305 E 54TH St
Sioux Falls, SD 57103-5422
Phone
(866) 744-0621
Fax
(888) 868-8660
NPI assigned
Mar 24, 2015
Last updated
Mar 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6108 SD Primary
Pharmacist 183500000X 017629 SD

Addresses

Primary practice location

2305 E 54TH St
Sioux Falls, SD 57103-5422

Mailing address

2305 E 54TH St
Sioux Falls, SD 57103-5422
Phone (866) 744-0621

Other identifiers 2

IdentifierTypeStateIssuer
6108OtherSDSOUTH DAKOTA BOARD OF PHARMACY
017629OtherKYKENTUCKY BOARD OF PHARMACY

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
017629SDMDPharmacist
6108SDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1225422603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 E 54TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035422",
            "telephone_number": "866-744-0621",
            "fax_number": "888-868-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E 54TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035422",
            "telephone_number": "866-744-0621",
            "fax_number": "888-868-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "JOEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "6108",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "017629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF PHARMACY",
            "identifier": "6108",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF PHARMACY",
            "identifier": "017629",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.