Individual provider Active NPI

Cody John Vaselaar

  • Pharmacist
  • Sioux Falls, SD
National Provider Identifier
1407746563
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7269 Issued in SD
Practice address
2701 S Minnesota Ave Ste 1
Sioux Falls, SD 57105-4746
Phone
(605) 367-2000
NPI assigned
Jul 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7269 SD Primary

Addresses

Primary practice location

2701 S Minnesota Ave Ste 1
Sioux Falls, SD 57105-4746

Mailing address

311 N Maple Ave Unit 4
Hartford, SD 57033-2462
Phone (712) 348-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7269SDMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1407746563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N MAPLE AVE UNIT 4",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570332462",
            "telephone_number": "712-348-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S MINNESOTA AVE STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054746",
            "telephone_number": "605-367-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASELAAR",
        "first_name": "CODY",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "7269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.