Organization Active NPI

Wollmans of Vermillion

  • Long Term Care Pharmacy
  • Vermillion, SD
National Provider Identifier
1265448906
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1000513 Issued in SD
Legal business name
WOLLMANS OF VERMILLION
Practice address
11 W Cherry St
Vermillion, SD 57069-1107
Phone
(605) 624-8038
Fax
(605) 624-8039
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Norm Kaufman, RPH
Title
Owner
Phone
(605) 624-8038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 1000513 SD Primary

Addresses

Primary practice location

11 W Cherry St
Vermillion, SD 57069-1107

Mailing address

PO Box 120
Freeman, SD 57029-0120

Other identifiers 2

IdentifierTypeStateIssuer
4353760OtherOTHER ID NUMBER-COMMERCIAL NUMBER
8504080MedicaidSD

Other names 1

  • CHOICE UNIT DOSE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choice Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11 W Cherry St
Vermillion, SD 57069
Phone (605) 624-8038

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1265448906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570290120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691107",
            "telephone_number": "605-624-8038",
            "fax_number": "605-624-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLLMANS OF VERMILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "NORM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-624-8038",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SD",
            "license": "1000513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4353760",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504080",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICE UNIT DOSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.