Brothers Pharmacies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1001897 Issued in SD

Legal business name

BROTHERS PHARMACIES INC

Doing business as

Shanes Pharmacy

Practice address

213 E Hustan Ave Ste a
Fort Pierre, SD 57532

Phone

(605) 223-9200

Fax

(605) 223-9201

NPI assigned

May 12, 2006

Last updated

Aug 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shane Clarambeau, RPH

Title

Ceo

Phone

(605) 223-9200

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• SHANES PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in SD2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Brothers Pharmacies, Inc.

  dba Northside Pharmacy

  • Community/Retail Pharmacy
  • Huron, SD
  • NPI 1922058890

  O20111109000134

  Same enrollment

Tax ID family

Brothers Pharmacies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brothers Pharmacies Inc

  dba Shane's Pharmacy

  • Long Term Care Pharmacy
  • Fort Pierre, SD
  • NPI 1932642428
  NPD tax ID

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1700836251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E HUSTAN AVE STE A",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "57532",
            "telephone_number": "605-223-9200",
            "fax_number": "605-223-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E HUSTAN AVE STE A",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "57532",
            "telephone_number": "605-223-9200",
            "fax_number": "605-223-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "CLARAMBEAU",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-223-9200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "1001897",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094335",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504350",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHANES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Ambur, MA, CCC-SLP
• Brothers Pharmacies Inc (Shane's Pharmacy)
• Hofer Family Dentistry (Missouri River Dentistry)
• Michelle Marie Hofer, D.D.S.
• Diane Alayne Inch, PA-C
• Jill L. Janecke, M.S., LPC-MH

• Community/Retail Pharmacy in Fort Pierre, SD
• Providers in Fort Pierre, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.