Active NPI
Jonathan Fliehs
- Pharmacist
- Aberdeen, SD
National Provider Identifier
1851025647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5693
- Practice address
- 2105 6TH Ave SE Ste 24
Aberdeen, SD 57401-6510 - Phone
- (605) 225-6344
- Fax
- (605) 225-2695
- NPI assigned
- Jul 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5693 | SD | Primary |
Addresses
Primary practice location
2105 6TH Ave SE Ste 24
Aberdeen, SD 57401-6510
Mailing address
2105 6TH Ave SE Ste 24
Aberdeen, SD 57401-6510
Phone (605) 225-6344
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5693 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1851025647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 6TH AVE SE STE 24",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574016510",
"telephone_number": "605-225-6344",
"fax_number": "605-225-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 6TH AVE SE STE 24",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574016510",
"telephone_number": "605-225-6344",
"fax_number": "605-225-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLIEHS",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5693",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "2105 6th Ave SE Ste 24",
"city": "Aberdeen",
"state": "SD",
"country_code": "US",
"postal_code": "574016510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.