Organization Active NPI

Community Pharmacies Inc

Doing business as Vilas Pharmacy

  • Community/Retail Pharmacy
  • Eagle Butte, SD
National Provider Identifier
1609009562
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1001953 Issued in SD
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8503040MedicaidSD
2121770OtherPK

Other names 1

  • Vilas Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Pharmacies Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

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.

Verify at the official NPI Registry.