Active NPI
Gregory Drug, Inc
- Community/Retail Pharmacy
- Gregory, SD
National Provider Identifier
1619185626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1000505
- Legal business name
- GREGORY DRUG, INC
- Doing business as
- Gregory Drug
- Practice address
- 604 Main St
Gregory, SD 57533-1349 - Phone
- (605) 835-8198
- Fax
- (605) 835-8827
- NPI assigned
- May 21, 2007
- 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
- Daniel Fiebelkorn
- Title
- Owner
- Phone
- (605) 835-8198
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1000505 | SD | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
604 Main St
Gregory, SD 57533-1349
Mailing address
604 Main St
Gregory, SD 57533-1349
Phone (605) 835-8198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8500033 | Medicaid | SD |
Other names 1
- Gregory Drug
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rx30 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201204000754 | SD | DME Supplier - Pharmacy | 8022429554 | Practice locations: Gregory, SD |
National Provider Directory
National Provider Directory- Tax ID family
- Daniel Fiebelkorn
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Gregory, SD
- NPI 1568056158
-
- Long Term Care Pharmacy
- Gregory, SD
- NPI 1770281073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1619185626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 MAIN ST",
"city": "GREGORY",
"state": "SD",
"postal_code": "575331349",
"telephone_number": "605-835-8198",
"fax_number": "605-835-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 MAIN ST",
"city": "GREGORY",
"state": "SD",
"postal_code": "575331349",
"telephone_number": "605-835-8198",
"fax_number": "605-835-8827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY DRUG, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "FIEBELKORN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-835-8198"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SD",
"license": "1000505",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8500033",
"state": "SD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rx30",
"affiliation": "N",
"address_1": "604 Main St",
"city": "Gregory",
"state": "SD",
"country_code": "US",
"postal_code": "575331349",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Gregory Drug",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gregory Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gregory, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.