Active NPI
Kwasniewski Enterprises Inc
Doing business as Cornwell Drug
- Community/Retail Pharmacy
- Webster, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1001821
- Legal business name
- KWASNIEWSKI ENTERPRISES INC
- Doing business as
- Cornwell Drug
- Practice address
- 701 Main St
Webster, SD 57274-1305 - Phone
- (605) 345-3351
- Fax
- (605) 345-3201
- NPI assigned
- Oct 21, 2005
- 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
- Robert Kwasniewski
- Title
- President
- Phone
- (605) 345-3351
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1001821 | SD | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
701 Main St
Webster, SD 57274-1305
Mailing address
PO Box 490
Webster, SD 57274-0490
Phone (605) 345-3351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8500742 | Medicaid | SD | |
| 2093886 | Other | PK |
Other names 1
- CORNWELL DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054109 | SD | DME Supplier - Pharmacy | 5991817504 | Practice locations: Webster, SD |
| O20181024001057 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 5991817504 | Practice locations: Webster, SD |
| O20220728002799 | SD | Part B Supplier - Independent Clinical Laboratory | 5991817504 | Practice locations: Webster, SD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2214636 | Cornwell Drug | Certificate of waiver | Feb 23, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cornwell Drug | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Enteral Nutrie… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
701 Main St
Webster, SD 57274
Phone (605) 345-3351
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Webster, SD
- NPI 1245348788
-
- Pharmacist
- Webster, SD
- NPI 1821963364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543881600000",
"number": "1659361640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "WEBSTER",
"state": "SD",
"postal_code": "572740490",
"telephone_number": "605-345-3351",
"fax_number": "605-345-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MAIN ST",
"city": "WEBSTER",
"state": "SD",
"postal_code": "572741305",
"telephone_number": "605-345-3351",
"fax_number": "605-345-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KWASNIEWSKI ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-21",
"last_updated": "2018-12-04",
"status": "A",
"authorized_official_last_name": "KWASNIEWSKI",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-345-3351"
},
"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": "1001821",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8500742",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2093886",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CORNWELL DRUG",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CORNWELL DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Webster, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.