Main Street Pharmacy I Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1001944 Issued in SD

Legal business name

MAIN STREET PHARMACY I CORP

Practice address

389 S Main St
Freeman, SD 57029-2337

Phone

(605) 925-7059

Fax

(605) 925-2360

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Norm Kaufman

Title

Owner

Phone

(605) 670-1450

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Norm's Thrifty White Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Hattervig

  • Pharmacist
  • Wells, MN
  • NPI 1952754087
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1811141815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570290120",
            "telephone_number": "605-925-7360",
            "fax_number": "605-925-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 S MAIN ST",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570292337",
            "telephone_number": "605-925-7059",
            "fax_number": "605-925-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY I CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "NORM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-670-1450"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "1001944",
            "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
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norm's Thrifty White Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakil I Hafiz, D.O.
• Danielle Heiberger
• Sylvia Mae Hofer, RN
• Jason Aanenson, DDS, PC
• Kenneth T Kirton Jr., MD
• Dustin Charles Randall, CNP
• Dennis D Ries, MD
• Sheila Rigo, FNP
• Rural Medical Clinics
• Salem Mennonite Home for the Aged

• Community/Retail Pharmacy in Freeman, SD
• Providers in Freeman, 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 18, 2015; 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.