Active NPI
B&L Inc
- Pharmacy
- Rapid City, SD
National Provider Identifier
1528043809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 100-0540
- Legal business name
- B&L INC
- Practice address
- 655 Mountain View Rd
Rapid City, SD 57702-2518 - Phone
- (605) 343-4864
- NPI assigned
- Dec 9, 2005
- 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
- Scott Vincent
- Title
- Operations Manager
- Phone
- (605) 343-4864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 100-0540 | SD | Primary |
Addresses
Primary practice location
655 Mountain View Rd
Rapid City, SD 57702-2518
Mailing address
PO Box 9009
Rapid City, SD 57709-9009
Phone (605) 343-4864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301886 | Other | SD | NCPDP # |
Other names 1
- Boyds Drug Mart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210104001983 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 1557774999 |
2 other NPIs on this enrollment Practice locations: Rapid City, SD |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- BL Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Rapid City, SD
- NPI 1417932799
-
- Pharmacy
- Rapid City, SD
- NPI 1598740870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617148800000",
"number": "1528043809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9009",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577099009",
"telephone_number": "605-343-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MOUNTAIN VIEW RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022518",
"telephone_number": "605-343-4864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B&L INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-09",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "605-343-4864"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "SD",
"license": "100-0540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "4301886",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boyds Drug Mart",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.