Graham David Protexter, PHARMD

Key facts

NPI

1841815917

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

6755 (SD)

Practice address

2525 S Ellis Rd
Sioux Falls, SD 57106-7066

Phone

(605) 367-2410

NPI assigned

Jun 14, 2020

Sex

Male

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanford Medical Center Pharmacy · Sioux Falls, SD · NPI 1316719222
  NPD (past)
• Sanford Medical Center Community/Retail Pharmacy · Sioux Falls, SD · NPI 1831675438
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 14, 2020.

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1841815917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S MINNESOTA AVE STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054787",
            "telephone_number": "605-367-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S ELLIS RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067066",
            "telephone_number": "605-367-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTEXTER",
        "first_name": "GRAHAM",
        "middle_name": "DAVID",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "6755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Sioux Falls, SD · Pharmacist in South Dakota