County Drug Inc
Organization Active NPI Community/Retail Pharmacy · Sturgis, SD
NPI 1831275965 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1831275965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1000460 (SD)
- Legal business name
- COUNTY DRUG INC
- Practice address
- 1111 Lazelle St
Sturgis, SD 57785-1203 - Phone
- (605) 347-2466
- Fax
- (605) 347-3380
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Bertsch, RPH
- Title
- Pharmacist Owner
- Phone
- (605) 347-2466
Corporate family (same tax ID) 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930077973 | SD | DME Supplier - Pharmacy | 9931228202 | Practice locations: Sturgis, SD |
| O20110103000894 | SD | Part B Supplier - Pharmacy | 9931228202 | Practice locations: Sturgis, SD |
National Provider Directory
- Tax ID family
- County Drug Inc
Locations
1111 Lazelle St
Sturgis, SD 57785
Phone (605) 347-2466
1111 Lazelle St
Ste 1
Sturgis, SD 57785
Phone (605) 347-2466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1000460 | SD | Yes |
Addresses
Primary practice location
1111 Lazelle St
Sturgis, SD 57785-1203
Mailing address
1111 Lazelle St Ste 1
Sturgis, SD 57785-1204
Phone (605) 347-2466
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2093871 | Other | PK | |
| 8501080 | Medicaid | SD | |
| 9166590 | Medicaid | SD |
Other names
- COUNTY DRUG
Other providers in Sturgis, SD
- Tara L Carlson
- City of Sturgis
- City of Sturgis
- Lori M'Lynn Collins
- County Drug
- Jessica Crouch
- Dakota Hills Assisted Living Center, Inc.
- Dakota Hills Family Practice
- Dakota Hills Family Practice
- Dakota Hills Family Practice
All providers in Sturgis, SD · Community/Retail Pharmacy 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 Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.