Organization Active NPI

Continued Care LTC Pharmacy South Dakota LLC

  • Long Term Care Pharmacy
  • Sioux Falls, SD
National Provider Identifier
1497418305
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CONTINUED CARE LTC PHARMACY SOUTH DAKOTA LLC
Practice address
4205 W 53Rd St Ste 200
Sioux Falls, SD 57106-4254
Phone
(888) 277-2132
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Brandon A Hagen
Title
General Manager
Phone
(888) 557-4318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4205 W 53Rd St Ste 200
Sioux Falls, SD 57106-4254

Mailing address

PO Box 329
Riverton, UT 84065-0329

National Provider Directory

National Provider Directory

Locations

4205 W 53rd St
Ste 200
Sioux Falls, SD 57106
Phone (888) 277-2132

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1497418305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 W 53RD ST STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064254",
            "telephone_number": "888-277-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUED CARE LTC PHARMACY SOUTH DAKOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "888-557-4318"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "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 Oct 18, 2021; 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.