Active NPI
Chuck Fortier
- Pharmacist
- Rapid City, SD
National Provider Identifier
1609528736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4614
- Practice address
- 909 E Saint Patrick St
Rapid City, SD 57701-5752 - Phone
- (605) 348-0741
- Fax
- (605) 716-1327
- NPI assigned
- Jan 20, 2022
- Last updated
- Jan 20, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 4614 | SD | Primary |
Addresses
Primary practice location
909 E Saint Patrick St
Rapid City, SD 57701-5752
Mailing address
PO Box 4261
Sturgis, SD 57785-4261
Phone (605) 490-0768
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4614 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&L Inc | 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": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1609528736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4261",
"city": "STURGIS",
"state": "SD",
"postal_code": "577854261",
"telephone_number": "605-490-0768",
"fax_number": "605-716-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E SAINT PATRICK ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577015752",
"telephone_number": "605-348-0741",
"fax_number": "605-716-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTIER",
"first_name": "CHUCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
- Folsland Family Investments (Visiting Angels of the Black Hills)
- Jacob John Folstrom, M.S., LPC
- Diane Fordham
- Renee Katherina Forster, COTA/L
- Fort Meade Vamc
- Farzaneh Tavassoli Fortier, RPH
- Forward Flow Counseling LLC
- Foundations Counseling LLC
- Founders Park Clinic, PLLC
- Fountain Springs SNF Operations, LLC (Fountain Springs Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.