Organization Active NPI

County Drug Inc

Doing business as County Drug

  • Community/Retail Pharmacy
  • Sturgis, SD
National Provider Identifier
1831275965
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1000460 Issued in SD
Legal business name
COUNTY DRUG INC
Doing business as
County Drug
Practice address
1111 Lazelle St
Sturgis, SD 57785-1203
Phone
(605) 347-2466
Fax
(605) 347-3380
NPI assigned
Oct 31, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Jeffrey Bertsch, RPH
Title
Pharmacist Owner
Phone
(605) 347-2466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1000460 SD Primary

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 names 1

  • COUNTY DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930077973 SD DME Supplier - Pharmacy 9931228202 Practice locations: Sturgis, SD
O20110103000894 SD Part B Supplier - Pharmacy 9931228202 Practice locations: Sturgis, SD

National Provider Directory

National Provider Directory
Tax ID family
County Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1111 Lazelle St
Ste 1
Sturgis, SD 57785
Phone (605) 347-2466

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1831275965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LAZELLE ST STE 1",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851204",
            "telephone_number": "605-347-2466",
            "fax_number": "605-347-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LAZELLE ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851203",
            "telephone_number": "605-347-2466",
            "fax_number": "605-347-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "BERTSCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "605-347-2466",
        "authorized_official_credential": "RPH"
    },
    "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": "1000460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTY DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COUNTY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sturgis, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.