Active NPI
Lori L Giedt
- Pharmacy
- Groton, SD
National Provider Identifier
1518001023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lori Louise Giedt, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8502070 | Medicaid | SD |
Other names 1
- Lori's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Giedt
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Groton, SD
- NPI 1972821007
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.
-
- Pharmacist
- Groton, SD
- NPI 1992859383
-
- Pharmacist
- Groton, SD
- NPI 1053803361
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.