Active NPI
South Dakota Human Services Center Pharmacy
- Psychiatric Hospital
- Yankton, SD
National Provider Identifier
1740538230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 10577
- Legal business name
- SOUTH DAKOTA HUMAN SERVICES CENTER PHARMACY
- Practice address
- 3515 Broadway Ave
Yankton, SD 57078-4917 - Phone
- (605) 668-3182
- Fax
- (605) 668-3156
- NPI assigned
- Aug 15, 2012
- Last updated
- Mar 7, 2023
- Organization subpart
- Yes
- Parent organization
- SD HUMAN SERVICES CENTER HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ric Compton
- Title
- Ceo
- Phone
- (605) 668-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 10577 | SD | Primary |
Addresses
Primary practice location
3515 Broadway Ave
Yankton, SD 57078-4917
Mailing address
3515 Broadway Ave
Yankton, SD 57078-4917
Phone (605) 668-3182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001017 | Other | SD | STATE PHARMACY LICENSE |
| 0240070 | Medicaid | SD |
National Provider Directory
National Provider Directory- Tax ID family
- Usd School Medicine
- Part of
- Usd School Medicine
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Locations
3515 Broadway Ave
Yankton, SD 57078
Phone (605) 668-3100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1740538230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 BROADWAY AVE",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784917",
"telephone_number": "605-668-3182",
"fax_number": "605-668-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 BROADWAY AVE",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784917",
"telephone_number": "605-668-3182",
"fax_number": "605-668-3156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH DAKOTA HUMAN SERVICES CENTER PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SD HUMAN SERVICES CENTER HOSPITAL",
"enumeration_date": "2012-08-15",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "COMPTON",
"authorized_official_first_name": "RIC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "605-668-3100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "SD",
"license": "10577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "1001017",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0240070",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.