Active NPI
J. Mark Dady, RPH
- Pharmacist
- Mobridge, SD
National Provider Identifier
1235211772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4158
- Practice address
- 323 N Main St
Mobridge, SD 57601-2534 - Phone
- (605) 844-5334
- Fax
- (605) 845-3575
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4158 | SD | Primary |
Addresses
Primary practice location
323 N Main St
Mobridge, SD 57601-2534
Mailing address
323 N Main St
Mobridge, SD 57601-2534
Phone (605) 844-5334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4158 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pharmacy of Mobridge , Inc | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Mobridge, SD
- NPI 1144243270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235211772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 N MAIN ST",
"city": "MOBRIDGE",
"state": "SD",
"postal_code": "576012534",
"telephone_number": "605-844-5334",
"fax_number": "605-845-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N MAIN ST",
"city": "MOBRIDGE",
"state": "SD",
"postal_code": "576012534",
"telephone_number": "605-844-5334",
"fax_number": "605-845-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADY",
"first_name": "J.",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobridge, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.