Kelly Anderberg
Individual provider Active NPI Pharmacist · Rapid City, SD
NPI 1821740150 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1821740150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4638 (SD)
- Practice address
- 909 E Saint Patrick St
Rapid City, SD 57701-5752 - Phone
- (605) 348-0741
- Fax
- (605) 716-1327
- NPI assigned
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4638 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&L Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4638 | SD | Yes |
Addresses
Primary practice location
909 E Saint Patrick St
Rapid City, SD 57701-5752
Mailing address
909 E Saint Patrick St
Rapid City, SD 57701-5752
Phone (605) 348-0741
Other providers in Rapid City, SD
- Tricia Ann Amiotte
- Joseph W Amo
- Mallory Ellen Amo
- Caleb Amos
- Anchor Point Healing LLC
- Kari A Anders
- Anderson Dental P.C.
- M Brooke Anderson Saunders
- Allison Renee Anderson
- Angela K Anderson
All providers in Rapid City, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.