Active NPI
Community Pharmacies Inc
Doing business as Vilas Pharmacy
- Community/Retail Pharmacy
- Eagle Butte, SD
National Provider Identifier
1609009562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1001953
- Legal business name
- COMMUNITY PHARMACIES INC
- Doing business as
- Vilas Pharmacy
- Practice address
- 223 S Main Street
Eagle Butte, SD 57625 - Phone
- (605) 964-8955
- Fax
- (605) 964-8956
- NPI assigned
- Aug 26, 2009
- Last updated
- Sep 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Stephens, RPH
- Title
- Owner/Pharmacist
- Phone
- (605) 964-8955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 1001953 | SD | Primary |
Addresses
Primary practice location
223 S Main Street
Eagle Butte, SD 57625
Mailing address
PO Box 520
Eagle Butte, SD 57625-0520
Phone (605) 964-8955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8503040 | Medicaid | SD | |
| 2121770 | Other | PK |
Other names 1
- Vilas Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Community Pharmacies Inc
Other organizations with this tax ID 15
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725580800000",
"number": "1609009562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "576250520",
"telephone_number": "605-964-8955",
"fax_number": "605-964-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 S MAIN STREET",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "57625",
"telephone_number": "605-964-8955",
"fax_number": "605-964-8956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY PHARMACIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-26",
"last_updated": "2024-09-06",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "605-964-8955",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SD",
"license": "1001953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8503040",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2121770",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vilas Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vilas Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagle Butte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.