NPIMap

Organization Active NPI

Hoffman Drug Inc

Doing business as Hoffman Drug

  • Pharmacy
  • Platte, SD
National Provider Identifier
1376589176
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
100-0474 Issued in SD
Legal business name
HOFFMAN DRUG INC
Doing business as
Hoffman Drug
Practice address
408 Main St
Platte, SD 57369-0110
Phone
(605) 337-3662
Fax
(605) 337-2673
NPI assigned
Jun 21, 2006
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Tiffany MaydewNPI 1952616336
Title
Owner/President
Phone
(605) 337-3662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 100-0474 SD Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

408 Main St
Platte, SD 57369-0110

Mailing address

PO Box 110
Platte, SD 57369-0110
Phone (605) 337-3662

Other names 1

  • Hoffman Drug Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160610001964 SD DME Supplier - Pharmacy 1557651080 Practice locations: Platte, SD
O20161020000874 SD Part B Supplier - Mass Immunization (Roster Biller Only) 1557651080 Practice locations: Platte, SD

National Provider Directory

National Provider Directory
Tax ID family
Hoffman Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1376589176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573690110",
            "telephone_number": "605-337-3662",
            "fax_number": "605-337-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAIN ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573690110",
            "telephone_number": "605-337-3662",
            "fax_number": "605-337-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MAYDEW",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "605-337-3662"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SD",
            "license": "100-0474",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoffman Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Platte, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.

Verify at the official NPI Registry.