Organization Active NPI

Cigna Tel Drug

  • Preferred Provider Organization
  • Sioux Falls, SD
National Provider Identifier
1740400753
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
4780 Issued in SD
Legal business name
CIGNA TEL DRUG
Practice address
4901 N 4TH Ave
Sioux Falls, SD 57104-0444
Phone
(800) 835-3784
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Bradley Duane Hennings, RPH
Title
Pharmacist
Phone
(605) 373-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 4780 SD Primary

Addresses

Primary practice location

4901 N 4TH Ave
Sioux Falls, SD 57104-0444

Mailing address

1509 Calumet Rd
Brookings, SD 57006-3612
Phone (605) 692-7525

National Provider Directory

National Provider Directory
Tax ID family
Cigna Tel Drug2 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.

Locations

4901 N 4th Ave
Sioux Falls, SD 57104
Phone (605) 373-0100

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1740400753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CALUMET RD",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063612",
            "telephone_number": "605-692-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 N 4TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040444",
            "telephone_number": "800-835-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA TEL DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "HENNINGS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "605-373-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SD",
            "license": "4780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2008; 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.