Individual provider Active NPI

Kayla Pardy, PHD

  • Pharmacist
  • Beresford, SD
National Provider Identifier
1235861899
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6950 Issued in SD
Practice address
911 W Cedar St Ste 1
Beresford, SD 57004-1608
Phone
(605) 763-2633
NPI assigned
Jun 30, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6950 SD Primary

Addresses

Primary practice location

911 W Cedar St Ste 1
Beresford, SD 57004-1608

Mailing address

911 W Cedar St Ste 1
Beresford, SD 57004-1608
Phone (605) 763-2633

Other identifiers 1

IdentifierTypeStateIssuer
6950OtherSDSD BOARD OF PHARMACY

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6950SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network PastSince Jul 3, 2022 Accepting new patients
Sanford Health Network PastSince Jul 3, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1235861899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W CEDAR ST STE 1",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041608",
            "telephone_number": "605-763-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W CEDAR ST STE 1",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041608",
            "telephone_number": "605-763-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDY",
        "first_name": "KAYLA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "6950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BOARD OF PHARMACY",
            "identifier": "6950",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beresford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.