Aberdeen Medical Center Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

1001861 Issued in SD

Legal business name

ABERDEEN MEDICAL CENTER PHARMACY, INC

Doing business as

DT Pharmacy

Practice address

815 1St Ave SE
Ste 202
Aberdeen, SD 57401

Phone

(605) 725-4001

Fax

(605) 725-2349

NPI assigned

Jul 17, 2006

Last updated

Jun 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Taffe, RPH

Title

Owner

Phone

(605) 725-4001

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DT Pharmacy Doing business as

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Aberdeen Medical Center Pharmacy, Inc

  dba State Street Pharmacy

  • Clinic Pharmacy
  • Aberdeen, SD
  • NPI 1083703037
  NPPES parent name
• Aberdeen Medical Center Pharmacy, Inc

  dba Plaza Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, SD
  • NPI 1174612121
  NPPES parent name

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1235156944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 1ST AVE SE",
            "address_2": "STE 202",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014602",
            "telephone_number": "605-725-4001",
            "fax_number": "605-725-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 1ST AVE SE",
            "address_2": "STE 202",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "57401",
            "telephone_number": "605-725-4001",
            "fax_number": "605-725-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERDEEN MEDICAL CENTER PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "TAFFE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-725-4001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SD",
            "license": "1001861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094312",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8503030",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DT Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DT Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aberdeen Medical Center Pharmacy, Inc (State Street Pharmacy)
• Aberdeen Medical Center Pharmacy, Inc (Plaza Pharmacy)
• Aberdeen Nursing and Rehab Center LLC
• Aberdeen School District
• Aberdeen Surgical Associates LLP
• Aberdeen Transfer Service
• Abigail Carol Berndt

• Long Term Care Pharmacy in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Long Term Care Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.