Avera McKennan

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

1001973 Issued in SD

Legal business name

AVERA MCKENNAN

Doing business as

Avera Compounding Pharmacy

Practice address

4101 W Memory Cir Ste 115
Sioux Falls, SD 57107-6503

Phone

(605) 322-3940

Fax

(605) 322-3941

NPI assigned

May 8, 2012

Last updated

Jul 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Joseph Place, MD

Title

President/Ceo

Phone

(605) 322-7903

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Avera Compounding Pharmacy Doing business as

Tax ID family

Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Avera McKennan

  dba Avera Medical Group McGreevy Dawley Farm

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1346512266
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Palliative Medicine Sioux Falls

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1356629497
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Kennebec Area

  • Family Medicine Physician
  • Kennebec, SD
  • NPI 1356788491
  NPD tax ID
• Avera McKennan

  dba Avera Healthworks

  • Occupational Medicine Clinic/Center
  • Sioux Falls, SD
  • NPI 1376662825
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Integrative Medicine Sioux Falls

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1386081883
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Colton

  • Family Medicine Physician
  • Colton, SD
  • NPI 1386793776
  NPD tax ID
• Avera McKennan

  dba Avera Dermatology Pharmacy

  • Community/Retail Pharmacy
  • Sioux Falls, SD
  • NPI 1407141344
  NPD tax ID
• Avera McKennan

  dba Avera Gregory Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Gregory, SD
  • NPI 1417215740
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Waubay

  • Rural Health Clinic/Center
  • Waubay, SD
  • NPI 1427003946
  NPD tax ID
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1437579919
  NPD tax ID
• Avera McKennan

  dba AveraNow Empire

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1437631280
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group McGreevy West Benson Road

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1457648149
  NPD tax ID

Locations

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1467711739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W MEMORY CIR STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571076503",
            "telephone_number": "605-322-3940",
            "fax_number": "605-322-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W MEMORY CIR STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571076503",
            "telephone_number": "605-322-3940",
            "fax_number": "605-322-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-7903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH29727",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "4140",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SD",
            "license": "1001973",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MN",
            "license": "263952",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NE",
            "license": "714",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y006782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan
• Avera McKennan (AveraNow Empire)
• Avera McKennan (Avera Medical Group Comprehensive Weight Management)
• Avera McKennan (Avera Medical Group McGreevy West Benson Road)
• Avera McKennan (Avera Breast Center)
• Avera McKennan (CORE Orthopedics Avera Medical Group)
• Avera McKennan (Avera Prince of Peace Outpatient Therapy)
• Avera McKennan (Avera McGreevy Clinic)
• Avera McKennan (Avera Medical Group Radiation Oncology)
• Avera McKennan (Avera Medical Group McGreevy Joe Foss)

• Compounding Pharmacy in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Compounding Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.