Organization Active NPI

Prescription Shop Inc

  • Community/Retail Pharmacy
  • Sioux Falls, SD
National Provider Identifier
1699878710
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100-0990 Issued in SD
Legal business name
PRESCRIPTION SHOP INC
Doing business as
VANHOVE PRESCRIPTION SHOP
Practice address
1200 S 7TH St Ave
Ste 100
Sioux Falls, SD 57105
Phone
(605) 336-1816
Fax
(605) 336-1677
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Cliff Van Hove, RPH
Title
Owner,Ao
Phone
(605) 336-1816

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 100-0990 SD Primary

Addresses

Primary practice location

1200 S 7TH St Ave
Ste 100
Sioux Falls, SD 57105

Mailing address

1200 S 7TH St Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 336-1816

Other identifiers 2

IdentifierTypeStateIssuer
8500180MedicaidSD
2093550OtherPK

Other names 1

  • VANHOVE PRESCRIPTION SHOP Doing business as

National Provider Directory

National Provider Directory

Locations

1200 S 7th Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 336-1816

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1699878710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH ST AVE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-336-1816",
            "fax_number": "605-336-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 7TH ST AVE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-336-1816",
            "fax_number": "605-336-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "VAN HOVE",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "605-336-1816",
        "authorized_official_credential": "RPH"
    },
    "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": "100-0990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500180",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANHOVE PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 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.