NPIMap

Organization Active NPI

Gregory Drug, Inc

  • Long Term Care Pharmacy
  • Gregory, SD
National Provider Identifier
1770281073
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GREGORY DRUG, INC
Doing business as
Gregory Drug
Practice address
604 Main St
Gregory, SD 57533-1349
Phone
(605) 835-8198
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Daniel Scott Fiebelkorn
Title
Owner
Phone
(605) 835-8198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

604 Main St
Gregory, SD 57533-1349

Mailing address

604 Main St
Gregory, SD 57533-1349
Phone (605) 835-8198

Other identifiers 1

IdentifierTypeStateIssuer
8500033MedicaidSD

Other names 1

  • Gregory Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Fiebelkorn3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1770281073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331349",
            "telephone_number": "605-835-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331349",
            "telephone_number": "605-835-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "FIEBELKORN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-835-8198"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500033",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gregory, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.