Active NPI
Alex Middendorf, PHARMD, MBA
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1700212305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R6248
- Practice address
- 4801 N Career Ave
Sioux Falls, SD 57107-1329 - Phone
- (605) 367-7583
- NPI assigned
- Sep 16, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IA22077 | IA | |
| Pharmacist | 183500000X | R6248 | SD | Primary |
Addresses
Primary practice location
4801 N Career Ave
Sioux Falls, SD 57107-1329
Mailing address
2701 N Career Ave Apt 209
Sioux Falls, SD 57107-1348
Phone (605) 367-7583
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
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IA22077 | IA | MD | Pharmacist |
| R6248 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1700212305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N CAREER AVE APT 209",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571071348",
"telephone_number": "605-367-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 N CAREER AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571071329",
"telephone_number": "605-367-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDENDORF",
"first_name": "ALEX",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-16",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "IA22077",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "R6248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
- Michelle Wenge Counseling Therapy Services
- Allison Michels
- Beth M Micke, OT
- Mickenna Andersen (Middle Path Counseling LLC)
- Michelle Rae Micucci, RN
- Grant Jacob Middendorff, PHARMD
- Midland Brotherhood Homecare Services LLC (Midbro)
- Midwest Diagnostics P.C.
- Midwest Ear, Nose & Throat Associates P C
- Midwest Eye Laboratories Sioux Falls LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.