Organization Active NPI

3 C Pharmacy Inc

Doing business as Prairie Hills Pharmacy

  • Community/Retail Pharmacy
  • Belle Fourche, SD
National Provider Identifier
1497310551
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
3 C PHARMACY INC
Doing business as
Prairie Hills Pharmacy
Practice address
600 State St
Belle Fourche, SD 57717-1419
Phone
(605) 723-5920
Fax
(605) 723-4010
NPI assigned
May 4, 2019
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Cheryl Jane WestlandNPI 1669066874
Title
Owner/ Pharmacist in Charge
Phone
(605) 723-5920

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

600 State St
Belle Fourche, SD 57717-1419

Mailing address

600 State St
Belle Fourche, SD 57717-1419
Phone (605) 723-5920

Other identifiers 2

IdentifierTypeStateIssuer
2019349MedicaidSD
156274600MedicaidWY

Other names 1

  • Prairie Hills Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203002008 SD Part B Supplier - Pharmacy 9133458227 Practice locations: Belle Fourche, SD

National Provider Directory

National Provider Directory
Tax ID family
3 C Pharmacy Inc2 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.

Locations

600 State St
Belle Fourche, SD 57717
Phone (605) 723-5920

Practitioners & affiliated clinicians

Practitioners 1

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": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1497310551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STATE ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171419",
            "telephone_number": "605-723-5920",
            "fax_number": "605-723-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STATE ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171419",
            "telephone_number": "605-723-5920",
            "fax_number": "605-723-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 C PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "WESTLAND",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "605-723-5920"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019349",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156274600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prairie Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Fourche, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.