NPIMap

Organization Active NPI

Coborns Inc

  • Community/Retail Pharmacy
  • Huron, SD
National Provider Identifier
1366514036
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100-1829 Issued in SD
Legal business name
COBORNS INC
Practice address
2150 Dakota Ave S
Huron, SD 57350-4311
Phone
(605) 352-1641
Fax
(605) 352-9663
NPI assigned
Nov 15, 2006
Organization subpart
Yes
Parent organization
COBORNS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Rebecca Pickler, PHARMD
Title
Director of Pharmacy
Phone
(320) 251-5505

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 100-1829 SD Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2150 Dakota Ave S
Huron, SD 57350-4311

Mailing address

PO Box 6146
PO Box 6146
Saint Cloud, MN 56302-6146
Phone (320) 251-5505

Other identifiers 3

IdentifierTypeStateIssuer
8501900MedicaidSD
2094286OtherPK
1366514036OtherNPI

Other names 2

  • COBORN'S PHARMACY #2024 Doing business as
  • COBORNS PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930033299 SD DME Supplier - PharmacyDME Supplier - Grocery Store 3072416593 Practice locations: Huron, SD
O20140111000102 SD Part B Supplier - Mass Immunization (Roster Biller Only) 3072416593 1 other NPI on this enrollment
Practice locations: Aberdeen, SD; Huron, SD

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coborn'S Pharmacy #242150 Dakota Ave S, Huron, SD 57350-4311(605) 352-1641 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Urological Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Coborn'S Pharmacy Service38 organizations share this tax ID, including this one
Part of
Coborn'S Pharmacy Service

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1366514036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6146",
            "address_2": "PO BOX 6146",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563026146",
            "telephone_number": "320-251-5505",
            "fax_number": "320-203-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 DAKOTA AVE S",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573504311",
            "telephone_number": "605-352-1641",
            "fax_number": "605-352-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBORNS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COBORNS INC",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "320-251-5505",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-1829",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8501900",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366514036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COBORN'S PHARMACY #2024",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COBORNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COBORNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huron, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.