Jordon Breuer, PHARMD

Individual provider Active NPI Pharmacist · Sioux Falls, SD

NPI 1588988554 · NPPES record last updated Mar 19, 2010

Key facts

NPI
1588988554
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5589 (SD)
Practice address
5500 W 41St St
Sioux Falls, SD 57106-1009
Phone
(605) 367-2610
Fax
(605) 367-2619
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5589SDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5589 SD Yes

Addresses

Primary practice location

5500 W 41St St
Sioux Falls, SD 57106-1009

Mailing address

6912 E Pine Lake Dr
Sioux Falls, SD 57110-6229

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.