Thomas Herman Neumayr, R.PH.
Individual provider Active NPI Pharmacist · Parkston, SD
NPI 1508933714 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1508933714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 112 S Main St
Parkston, SD 57366-0430 - Phone
- (605) 928-3125
- Fax
- (605) 928-7516
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 460325534 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkston Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | SD | Yes |
Addresses
Primary practice location
112 S Main St
Parkston, SD 57366-0430
Mailing address
PO Box 430
Parkston, SD 57366-0430
Phone (605) 928-3125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8500330 | Medicaid | SD | |
| 9162860 | Medicaid | SD |
Other providers in Parkston, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.