Lora Lee Van Dyke, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

4117 Issued in SD

Practice address

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

Phone

(605) 331-3190

Fax

(605) 978-3996

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Ameripharm, Inc

  • Mail Order Pharmacy
  • Sioux Falls, SD
  • NPI 1073692745
  NPD (past)
• Pharmacy Specialties & Clinic, Inc.

  • Community/Retail Pharmacy
  • Sioux Falls, SD
  • NPI 1629140967
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1689945875",
    "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": "605-331-3190",
            "fax_number": "605-978-3996"
        },
        {
            "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": "605-331-3190",
            "fax_number": "605-978-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "LORA",
        "middle_name": "LEE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19216",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118797",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "4117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "4117",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jane Van Beek, NP-C
• Stephanie K Van Dam, CNP
• Gavin Van de Walle, MS, RD
• Robert Eugene Van Demark III, MD
• Marah Jo Van Diest, MD
• Elizabeth Ann Van Egdom, RD, LN
• Troy Van Essen, PPT
• Lisa Ann Van Gerpen, CNM
• Shawn David Van Gerpen, M.D.
• Taylor Barbara Van Gerpen, AUD

• Pharmacist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.