NPIMap

Organization Active NPI

Medvantx Inc

  • Mail Order Pharmacy
  • Sioux Falls, SD
National Provider Identifier
1235371535
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
1001950 Issued in SD
Legal business name
MEDVANTX INC
Doing business as
MedVantx Inc
Practice address
2503 E 54TH St N
Ste M
Sioux Falls, SD 57104-5563
Phone
(605) 978-3980
Fax
(888) 825-8473
NPI assigned
Apr 1, 2009
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Sean Harms, PHARM DNPI 1598145757
Title
Chief Pharmacist
Phone
(605) 978-3963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X 1001950 SD Primary

Addresses

Primary practice location

2503 E 54TH St N
Ste M
Sioux Falls, SD 57104-5563

Mailing address

2503 E 54TH St N
Ste M
Sioux Falls, SD 57104-5563
Phone (605) 978-3980

Other identifiers 1

IdentifierTypeStateIssuer
2119886OtherPK

Other names 1

  • MedVantx Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2503 E 54th St N
Ste M
Sioux Falls, SD 57104
Phone (605) 978-3980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1235371535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 E 54TH ST N",
            "address_2": "STE M",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045563",
            "telephone_number": "605-978-3980",
            "fax_number": "888-825-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E 54TH ST N",
            "address_2": "STE M",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045563",
            "telephone_number": "605-978-3980",
            "fax_number": "888-825-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVANTX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "605-978-3963",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "SD",
            "license": "1001950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedVantx Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 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.