Maureen A. Logue

Primary specialty

PharmacistTaxonomy code 183500000X

License

4961 Issued in SD

Practice address

790 22ND Ave S
Brookings, SD 57006-2822

Phone

(605) 692-7311

NPI assigned

Dec 1, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stronghold Pharmacy LLC

  • Durable Medical Equipment & Medical Supplies
  • Arlington, SD
  • NPI 1396451910
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1306441928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 KANSAS DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062416",
            "telephone_number": "605-692-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062822",
            "telephone_number": "605-692-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "MAUREEN",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "4961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LG Optical Enterprises (Total Eyewear)
• Ashley Lauren Lipp, PA-C
• Little Wildflower Play Therapy, LLC
• Dustin Wade Little, DPT, CSCS
• Ellie Alayne Livingston
• Lori Kay Egeberg (Sixth Street Optical)
• Nicole B. Lounsbery, MA, LPC, PHD
• Melanie Lunn
• Rachel Lynde, NP-C
• Danise Maas, MS, LAT, ATC

• Pharmacist in Brookings, SD
• Providers in Brookings, SD by specialty
• Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.