Organization Active NPI

Lori L Giedt

  • Pharmacy
  • Groton, SD
National Provider Identifier
1518001023
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1000002
Legal business name
LORI L GIEDT
Practice address
1205 N 1St St
Groton, SD 57445-0347
Phone
(605) 397-2363
Fax
(605) 397-4403
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Mrs. Lori Louise Giedt, RPHNPI 1992859383
Title
Owner RPH
Phone
(605) 397-2363

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1000002 Primary

Addresses

Primary practice location

1205 N 1St St
Groton, SD 57445-0347

Mailing address

PO Box 347
Groton, SD 57445
Phone (605) 397-2363

Other identifiers 1

IdentifierTypeStateIssuer
8502070MedicaidSD

Other names 1

  • Lori's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930023800 SD DME Supplier - Pharmacy 5991825291 Practice locations: Groton, SD
O20180611001231 SD Part B Supplier - Mass Immunization (Roster Biller Only) 5991825291 Practice locations: Groton, SD

National Provider Directory

National Provider Directory
Tax ID family
Lori L Giedt2 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

1205 N 1st St
Groton, SD 57445
Phone (605) 397-2363

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1518001023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "GROTON",
            "state": "SD",
            "postal_code": "57445",
            "telephone_number": "605-397-2363",
            "fax_number": "605-397-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N 1ST ST",
            "city": "GROTON",
            "state": "SD",
            "postal_code": "574450347",
            "telephone_number": "605-397-2363",
            "fax_number": "605-397-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI L GIEDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "GIEDT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER RPH",
        "authorized_official_telephone_number": "605-397-2363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": "1000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502070",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lori's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.