Individual provider Active NPI

Shane Joseph Clarambeau, RPH

  • Pharmacist
  • Pierre, SD
National Provider Identifier
1235110461
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4903 Issued in SD
Practice address
120 W Sioux Ave
Pierre, SD 57501-2425
Phone
(605) 224-7396
Fax
(605) 224-6037
NPI assigned
Nov 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4903 SD Primary

Addresses

Primary practice location

120 W Sioux Ave
Pierre, SD 57501-2425

Mailing address

PO Box 383
Fort Pierre, SD 57532-0383
Phone (605) 223-2166

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4903SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SC Clinical LLC Current Accepting new patients
Rambo LTC Inc Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235110461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "575320383",
            "telephone_number": "605-223-2166",
            "fax_number": "605-223-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012425",
            "telephone_number": "605-224-7396",
            "fax_number": "605-224-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARAMBEAU",
        "first_name": "SHANE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "4903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.