Active NPI
DPX Enterprises, Inc.
Doing business as Dan's Drugstore
- Community/Retail Pharmacy
- Sioux Falls, SD
National Provider Identifier
1316342306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 100-2018
- Legal business name
- DPX ENTERPRISES, INC.
- Doing business as
- Dan's Drugstore
- Practice address
- 5028 S Cliff Ave
Sioux Falls, SD 57108-5432 - Phone
- (605) 275-9442
- Fax
- (605) 275-9448
- NPI assigned
- Nov 3, 2014
- Last updated
- Jan 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Peterson, PHARM D.
- Title
- Pharmacist/Owner
- Phone
- (605) 366-2199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 100-2018 | SD | Primary |
Addresses
Primary practice location
5028 S Cliff Ave
Sioux Falls, SD 57108-5432
Mailing address
5028 S Cliff Ave
Sioux Falls, SD 57108-5432
Phone (605) 275-9442
Other names 1
- Dan's Drugstore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141229002293 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 2567785454 | Practice locations: Sioux Falls, SD |
National Provider Directory
National Provider DirectoryLocations
5028 S Cliff Ave
Sioux Falls, SD 57108
Phone (605) 275-9442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485129600000",
"number": "1316342306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5028 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085432",
"telephone_number": "605-275-9442",
"fax_number": "605-275-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085432",
"telephone_number": "605-275-9442",
"fax_number": "605-275-9448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DPX ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-03",
"last_updated": "2017-01-23",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "605-366-2199",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SD",
"license": "100-2018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dan's Drugstore",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.