Laura E Botkins, PHARMD
Individual provider Active NPI Pharmacist · Rapid City, SD
NPI 1346529757 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1346529757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP445706 (PA)
- Practice address
- 3200 Canyon Lake Dr
Rapid City, SD 57702-8114 - Phone
- (605) 355-2211
- Fax
- (605) 355-2565
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP445706 | PA | MD | Pharmacist |
| 5874 | SD | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5874 | SD | |
| Pharmacist | 183500000X | RP445706 | PA | Yes |
Addresses
Primary practice location
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Mailing address
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone (605) 355-2211
Other providers in Rapid City, SD
- Carrie Bossman
- Cindi Boswell
- Bosworth Therapy & Consultation Services Inc
- Jon Bosworth
- Thomas Matthew Bosworth
- Kelly M Bouma
- Marvin Lee Bouska
- Sara Kay Bouzek
- Logan Bowen
- Vaughan Richard Bowen
All providers in Rapid City, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.