Individual provider Active NPI

Donald Kraig Buchele

  • Pharmacist
  • Desmet, SD
National Provider Identifier
1366577959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3350 Issued in SD
Practice address
201 Calumet Ave
Desmet, SD 57231
Phone
(605) 854-3861
NPI assigned
Feb 22, 2007
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
3350SDMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3350 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

201 Calumet Ave
Desmet, SD 57231

Mailing address

201 Calumet Ave
Desmet, SD 57231
Phone (605) 854-3861

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3350OtherSDPHARMACY LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366577959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALUMET AVE",
            "city": "DESMET",
            "state": "SD",
            "postal_code": "57231",
            "telephone_number": "605-854-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALUMET AVE",
            "city": "DESMET",
            "state": "SD",
            "postal_code": "57231",
            "telephone_number": "605-854-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHELE",
        "first_name": "DONALD",
        "middle_name": "KRAIG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "3350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "3350",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desmet, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.