NPIMap

Organization Active NPI

Monument Health Home Plus, LLC

Doing business as Monument Health Home Plus Specialty Pharmacy

  • Community/Retail Pharmacy
  • Rapid City, SD
National Provider Identifier
1487109690
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MONUMENT HEALTH HOME PLUS, LLC
Doing business as
Monument Health Home Plus Specialty Pharmacy
Practice address
725 Meade St
Rapid City, SD 57701-5334
Phone
(605) 755-3065
NPI assigned
Aug 17, 2016
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MONUMENT HEALTH HOME PLUS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Michael Tilles
Title
President Monument Health
Phone
(605) 519-1179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

725 Meade St
Rapid City, SD 57701-5334

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-7649

Other practice location 1

2006 Mount Rushmore Rd Ste 2
Rapid City, SD 57701-4622
Phone (605) 755-3065

Other names 1

  • Monument Health Home Plus Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109002987 SD DME Supplier - Pharmacy 8729367776 Practice locations: Rapid City, SD

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Monument Health Home Plus Specialty725 Meade St, Rapid City, SD 57701-5334(605) 755-3065 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 9, 2016

National Provider Directory

National Provider Directory
Tax ID family
Regional Health Home Plus LLC11 organizations share this tax ID, including this one
Part of
Regional Health Home Plus LLC

Other organizations with this tax ID 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1487109690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860013",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860013",
            "telephone_number": "605-755-7649",
            "fax_number": "605-755-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MEADE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015334",
            "telephone_number": "605-755-3065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Mount Rushmore Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577014622",
            "country_code": "US",
            "telephone_number": "605-755-3065",
            "fax_number": "605-755-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONUMENT HEALTH HOME PLUS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONUMENT HEALTH HOME PLUS, LLC",
        "enumeration_date": "2016-08-17",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "TILLES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT MONUMENT HEALTH",
        "authorized_official_telephone_number": "605-519-1179"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Home Plus Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.