Active NPI
Michael L Jockheck, RPH
- Pharmacist
- Pierre, SD
National Provider Identifier
1598872129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4987
- Practice address
- 700 Governors Dr
DSS/Medical Services
Pierre, SD 57501-2291 - Phone
- (605) 773-3495
- Fax
- (605) 773-5246
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4987 | SD | Primary |
Addresses
Primary practice location
700 Governors Dr
DSS/Medical Services
Pierre, SD 57501-2291
Mailing address
1515 E Park St
Pierre, SD 57501-4142
Phone (605) 773-3495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4987 | Other | SD | PHARMACIST LICENSE NUMBER |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4987 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1598872129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E PARK ST",
"city": "PIERRE",
"state": "SD",
"postal_code": "575014142",
"telephone_number": "605-773-3495",
"fax_number": "605-773-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GOVERNORS DR",
"address_2": "DSS/MEDICAL SERVICES",
"city": "PIERRE",
"state": "SD",
"postal_code": "575012291",
"telephone_number": "605-773-3495",
"fax_number": "605-773-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOCKHECK",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "4987",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.