Rapid City Regional Hospital Inc
Organization Active NPI Institutional Pharmacy · Rapid City, SD
NPI 1356496210 · NPPES record last updated Jun 8, 2016
Key facts
- NPI
- 1356496210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- License
- 1001986 (SD)
- Legal business name
- RAPID CITY REGIONAL HOSPITAL INC
- Practice address
- 353 Fairmont Blvd
Rapid City, SD 57701-7375 - Phone
- (605) 755-8184
- Fax
- (605) 755-4763
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Scott Peterson, PHARM D
- Title
- Manager of Ambulatory Pharmacy Serv
- Phone
- (605) 755-8184
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Massa Berry Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Institutional Pharmacy | 3336I0012X | 1001986 | SD | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
353 Fairmont Blvd
Rapid City, SD 57701-7375
Mailing address
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8184
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8560040 | Medicaid | SD | |
| 2093951 | Other | PK |
Other names
- Regional Pharmacy
Other providers in Rapid City, SD
- Rapid City Regional Hospital
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital, Inc.
- Rapid City Regional Hospital, Inc.
All providers in Rapid City, SD · Institutional Pharmacy 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 Jun 8, 2016. 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.