Active NPI
Lucas Paul Kraemer, PHARM D
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1750076162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6841
- Practice address
- 2333 W 57TH St
Sioux Falls, SD 57108-5053 - Phone
- (605) 334-1672
- Fax
- (605) 331-3243
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24326 | IA | |
| Pharmacist | 183500000X | 1-116133 | KS | |
| Pharmacist | 183500000X | 17488 | NE | |
| Pharmacist | 183500000X | 125567 | MN | |
| Pharmacist | 183500000X | E-100570 | MS | |
| Pharmacist | 183500000X | 5302415172 | MI | |
| Pharmacist | 183500000X | 6841 | SD | Primary |
Addresses
Primary practice location
2333 W 57TH St
Sioux Falls, SD 57108-5053
Mailing address
2333 W 57TH St
Sioux Falls, SD 57108-5053
Phone (605) 334-1672
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24326 | IA | MD | Pharmacist |
| 1-116133 | KS | MD | Pharmacist |
| 5302415172 | MI | MD | Pharmacist |
| 125567 | MN | MD | Pharmacist |
| E-100570 | MS | MD | Pharmacist |
| 17488 | NE | MD | Pharmacist |
| 6841 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Specialties, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Compounding Pharmacy
- Sioux Falls, SD
- NPI 1659703312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1750076162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 W 57TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085053",
"telephone_number": "605-334-1672",
"fax_number": "605-331-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 W 57TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085053",
"telephone_number": "605-334-1672",
"fax_number": "605-331-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAEMER",
"first_name": "LUCAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24326",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-116133",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "17488",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125567",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-100570",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415172",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6841",
"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 20, 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.