Kevin Glenn Wurtz

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100-0510 Issued in SD

Legal business name

KEVIN GLENN WURTZ

Doing business as

Pioneer Drug

Practice address

107 E Main St
Elk Point, SD 57025

Phone

(605) 356-3336

Fax

(605) 356-3202

NPI assigned

Nov 22, 2006

Last updated

Aug 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Wurtz, RPHNPI 1801159397

Title

Owner

Phone

(605) 356-3336

Specialties & licenses 2

Addresses

Other names 1

• PIONEER DRUG Doing business as

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.

• Kevin Glenn Wurtz, PHARMACIST

  • Pharmacist
  • Elk Point, SD
  • NPI 1801159397
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1306911599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "ELK POINT",
            "state": "SD",
            "postal_code": "570250489",
            "telephone_number": "605-356-3336",
            "fax_number": "605-356-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "ELK POINT",
            "state": "SD",
            "postal_code": "57025",
            "telephone_number": "605-356-3336",
            "fax_number": "605-356-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN GLENN WURTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "WURTZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-356-3336",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-0510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIONEER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Kay Holgate, OTR/L
• Horizon Health Care Inc (Elk Point Community Health Center)
• Erik Neil Johnson, D.C.
• Johnson's Chiropractic Clinic, P.C. (Johnson Chiropractic Clinic)
• Marie Kaiser
• Key Rehabilitation, Inc
• Kismet Elk LLC (WEL Home Health Elk Point)
• Kismet Elk LLC (Prairie Estates Care Center)
• Matthew John McDermott
• Traci McDonald, ARNP

• Community/Retail Pharmacy in Elk Point, SD
• Providers in Elk Point, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.