Individual provider Active NPI

Troy Clarambeau

  • Pharmacist
  • Huron, SD
National Provider Identifier
1598245656
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5152 Issued in SD
Practice address
100 Dakota Ave N Ste a
Huron, SD 57350-1630
Phone
(605) 352-9222
Fax
(605) 352-4861
NPI assigned
Aug 17, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5152 SD Primary

Addresses

Primary practice location

100 Dakota Ave N Ste a
Huron, SD 57350-1630

Mailing address

100 Dakota Ave N Ste a
Huron, SD 57350-1630
Phone (605) 352-9222

Other practice location 1

1004 6th St
Brookings, SD 57006-2205
Phone (605) 692-2088

Other practice location 2

202 Island Dr Ste 2
Fort Pierre, SD 57532-7303
Phone (605) 223-9200

Other identifiers 1

IdentifierTypeStateIssuer
8510040MedicaidSD

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5152SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brothers Pharmacies, Inc. Pharmacist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1598245656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DAKOTA AVE N STE A",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573501630",
            "telephone_number": "605-352-9222",
            "fax_number": "605-352-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAKOTA AVE N STE A",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573501630",
            "telephone_number": "605-352-9222",
            "fax_number": "605-352-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 6th St",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062205",
            "country_code": "US",
            "telephone_number": "605-692-2088",
            "fax_number": "605-692-2089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Island Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fort Pierre",
            "state": "SD",
            "postal_code": "575327303",
            "country_code": "US",
            "telephone_number": "605-223-9200",
            "fax_number": "605-223-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARAMBEAU",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8510040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.