Organization Active NPI

Homer's Pharmacy LLC

Doing business as Nelson Drug

  • Community/Retail Pharmacy
  • Arlington, SD
National Provider Identifier
1265095855
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOMER'S PHARMACY LLC
Doing business as
Nelson Drug
Practice address
125 S Main St
Arlington, SD 57212-2086
Phone
(605) 983-5711
Fax
(605) 983-5711
NPI assigned
Apr 18, 2019
Last updated
Apr 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Dr. Tanya Marie Gruntmeir, PHARMDNPI 1073746756
Title
Owner/Pharmacist
Phone
(605) 983-5711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

125 S Main St
Arlington, SD 57212-2086

Mailing address

46524 213TH St
Volga, SD 57071-6338
Phone (605) 690-0595

Other names 1

  • Nelson Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211018001011 SD Part B Supplier - Mass Immunization (Roster Biller Only) 0749517332 Practice locations: Arlington, SD

National Provider Directory

National Provider Directory

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": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1265095855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46524 213TH ST",
            "city": "VOLGA",
            "state": "SD",
            "postal_code": "570716338",
            "telephone_number": "605-690-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "ARLINGTON",
            "state": "SD",
            "postal_code": "572122086",
            "telephone_number": "605-983-5711",
            "fax_number": "605-983-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER'S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "GRUNTMEIR",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "605-983-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.