Organization Active NPI

Dakotamart Inc

Doing business as Lynns Dakotamart Pharmacy - Belle Fourche

  • Community/Retail Pharmacy
  • Belle Fourche, SD
National Provider Identifier
1316013071
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1001881 Issued in SD
Legal business name
DAKOTAMART INC
Doing business as
Lynns Dakotamart Pharmacy - Belle Fourche
Practice address
600 National St
Belle Fourche, SD 57717-2002
Phone
(605) 892-2666
Fax
(605) 892-2667
NPI assigned
Nov 27, 2006
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Janel S Eischens
Title
Pharmacist in Charge
Phone
(605) 892-2666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 1001881 SD Primary

Addresses

Primary practice location

600 National St
Belle Fourche, SD 57717-2002

Mailing address

3435 W Main St
Rapid City, SD 57702-2321
Phone (605) 892-2666

Other identifiers 2

IdentifierTypeStateIssuer
8510050MedicaidSD
2094328OtherPK

Other names 1

  • LYNNS DAKOTAMART PHARMACY - BELLE FOURCHE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930011534 SD DME Supplier - Pharmacy 2567546302 Practice locations: Belle Fourche, SD
O20101015001235 SD Part B Supplier - Mass Immunization (Roster Biller Only) 2567546302 2 other NPIs on this enrollment
Practice locations: Belle Fourche, SD; Hot Springs, SD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

600 National St
Belle Fourche, SD 57717
Phone 6058922666 ext. 0

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1316013071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W MAIN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022321",
            "telephone_number": "605-892-2666",
            "fax_number": "605-892-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NATIONAL ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172002",
            "telephone_number": "605-892-2666",
            "fax_number": "605-892-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTAMART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "EISCHENS",
        "authorized_official_first_name": "JANEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "605-892-2666"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "1001881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8510050",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094328",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYNNS DAKOTAMART PHARMACY - BELLE FOURCHE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LYNNS DAKOTAMART PHARMACY - BELLE FOURCHE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Fourche, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.