Parkston Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100-1946 Issued in SD

Legal business name

PARKSTON DRUG INC

Doing business as

Parkston Drug Inc

Practice address

112 W Main St
Parkston, SD 57366-2010

Phone

(605) 928-3125

Fax

(605) 928-7516

NPI assigned

Apr 3, 2007

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Boettcher

Title

President and Owner

Phone

(605) 928-3125

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• PARKSTON DRUG INC Doing business as

Practitioners 1

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.

• Thomas Herman Neumayr, R.PH.

  • Pharmacist
  • Parkston, SD
  • NPI 1508933714
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1801917281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573660430",
            "telephone_number": "605-928-3125",
            "fax_number": "605-928-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573662010",
            "telephone_number": "605-928-3125",
            "fax_number": "605-928-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSTON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "BOETTCHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "605-928-3125"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-1946",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500332",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093848",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9162862",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKSTON DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Lubbers, CNP
• Kerri Lutjens, CNP
• Payton Robert Monson, ATS
• Thomas Herman Neumayr, R.PH.
• Parkston Chiropractic Clinic, Prof. L.L.C.
• Parkston Rural Ambulance District
• Parkston School District
• Michele L Peitz, PA-C
• Schylar Powers
• Mary K Schaefer, PA-C

• Community/Retail Pharmacy in Parkston, SD
• Providers in Parkston, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.