NPIMap

Organization Active NPI

Rambo LTC Inc

Doing business as Brothers Pharmacy LTC

  • Long Term Care Pharmacy
  • Brookings, SD
National Provider Identifier
1750824462
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RAMBO LTC INC
Doing business as
Brothers Pharmacy LTC
Practice address
1004 6TH St Ste B
Brookings, SD 57006-2205
Phone
(605) 692-2088
Fax
(605) 692-2089
NPI assigned
Nov 29, 2016
Last updated
Mar 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Shane ClarambeauNPI 1235110461
Title
Ceo/President
Phone
(605) 223-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 100-2046 SD
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1004 6TH St Ste B
Brookings, SD 57006-2205

Mailing address

1004 6TH St Ste B
Brookings, SD 57006-2205
Phone (605) 692-2088

Other identifiers 1

IdentifierTypeStateIssuer
2166609OtherPK

Other names 1

  • Brothers Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory

Locations

1004 6th St
Ste B
Brookings, SD 57006
Phone (605) 692-2088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1750824462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 6TH ST STE B",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062205",
            "telephone_number": "605-692-2088",
            "fax_number": "605-692-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 6TH ST STE B",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062205",
            "telephone_number": "605-692-2088",
            "fax_number": "605-692-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMBO LTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "CLARAMBEAU",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-223-9200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SD",
            "license": "100-2046",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brothers Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brothers Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.