Active NPI
Stephen Fagerland
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1649664020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6182
- Practice address
- 2503 E 54TH St N
Sioux Falls, SD 57104-5563 - Phone
- (866) 744-0621
- NPI assigned
- Mar 24, 2015
- 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 | 6182 | SD | Primary |
Addresses
Primary practice location
2503 E 54TH St N
Sioux Falls, SD 57104-5563
Mailing address
601 E 69TH St Apt 317
Sioux Falls, SD 57108-2407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6182 | Other | SD | SOUTH DAKOTA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 6182 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripharm, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1649664020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 69TH ST APT 317",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 E 54TH ST N",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571045563",
"telephone_number": "866-744-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGERLAND",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH DAKOTA BOARD OF PHARMACY",
"identifier": "6182",
"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 Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.