NPIMap

Organization Active NPI

Pharmacy Specialties & Clinic, Inc.

  • Community/Retail Pharmacy
  • Sioux Falls, SD
National Provider Identifier
1629140967
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1001793 Issued in SD
Legal business name
PHARMACY SPECIALTIES & CLINIC, INC.
Practice address
2333 W 57TH St Ste 109
Sioux Falls, SD 57108-5054
Phone
(605) 334-1672
Fax
(605) 331-3243
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheri Ann Kraemer, RPH
Title
Owner
Phone
(605) 334-1672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1001793 SD Primary

Addresses

Primary practice location

2333 W 57TH St Ste 109
Sioux Falls, SD 57108-5054

Mailing address

2333 W 57TH St Ste 109
Sioux Falls, SD 57108-5054
Phone (605) 334-1672

Other identifiers 1

IdentifierTypeStateIssuer
8500932MedicaidSD

National Provider Directory

National Provider Directory

Locations

2333 W 57th St
Ste 109
Sioux Falls, SD 57108
Phone (605) 331-3190

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1629140967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W 57TH ST STE 109",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085054",
            "telephone_number": "605-334-1672",
            "fax_number": "605-331-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W 57TH ST STE 109",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085054",
            "telephone_number": "605-334-1672",
            "fax_number": "605-331-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SPECIALTIES & CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "KRAEMER",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-334-1672",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "1001793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500932",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.