Organization Active NPI

Gregory Drug, Inc

  • Community/Retail Pharmacy
  • Gregory, SD
National Provider Identifier
1568056158
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GREGORY DRUG, INC
Practice address
604 Main St
Gregory, SD 57533-1349
Phone
(605) 835-8198
Fax
(605) 835-8827
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Daniel Scott Fiebelkorn, PHARMD
Title
President, Ceo
Phone
(605) 835-8198

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

604 Main St
Gregory, SD 57533-1349

Mailing address

604 Main St
Gregory, SD 57533-1349
Phone (605) 835-8198

Other identifiers 1

IdentifierTypeStateIssuer
8500033MedicaidSD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL RX30

National Provider Directory

National Provider Directory
Tax ID family
Daniel Fiebelkorn3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1568056158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331349",
            "telephone_number": "605-835-8198",
            "fax_number": "605-835-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331349",
            "telephone_number": "605-835-8198",
            "fax_number": "605-835-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "FIEBELKORN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "605-835-8198",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500033",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RX30",
            "affiliation": "N",
            "address_1": "604 Main St",
            "city": "Gregory",
            "state": "SD",
            "country_code": "US",
            "postal_code": "575331349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gregory, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.