Individual provider Active NPI

Mandilyn Fliehs

  • Pharmacist
  • Aberdeen, SD
National Provider Identifier
1598484883
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5598 Issued in SD
Practice address
2201 6TH Ave SE Ste 23
Aberdeen, SD 57401-5190
Phone
(605) 225-6344
Fax
(605) 225-2695
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5598 SD Primary

Addresses

Primary practice location

2201 6TH Ave SE Ste 23
Aberdeen, SD 57401-5190

Mailing address

2201 6TH Ave SE Ste 23
Aberdeen, SD 57401-5190
Phone (605) 225-6344

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
5598SDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1598484883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 6TH AVE SE STE 23",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015190",
            "telephone_number": "605-225-6344",
            "fax_number": "605-225-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 6TH AVE SE STE 23",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015190",
            "telephone_number": "605-225-6344",
            "fax_number": "605-225-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIEHS",
        "first_name": "MANDILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.