Charles Debo, PHARMD
Individual provider Active NPI Pharmacist · Pine Ridge, SD
NPI 1225609159 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1225609159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHA.0023068 (CO)
- Practice address
- PHS Indian Hospital
607 Indian Health Road
Pine Ridge, SD 57770 - Phone
- (605) 867-3192
- NPI assigned
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0023068 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0023068 | CO | Yes |
Addresses
Primary practice location
PHS Indian Hospital
607 Indian Health Road
Pine Ridge, SD 57770
Mailing address
PHS Indian Hospital
607 Indian Health Road
Pine Ridge, SD 57770
Other providers in Pine Ridge, SD
- Anna Marie Cummings
- Bailey Cummings
- Darcy Cuny
- James Marion Davy
- Amy L Dayhoff
- Frankie Delgado Canas
- Heather Derby
- Linda Kay Dixon
- Jennifer Doherty
- Stacy Drummond
All providers in Pine Ridge, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.