Joseph Andrew Berendse, PHARM.D.

Individual provider Active NPI Pharmacist · Fort Meade, SD

NPI 1851774061 · NPPES record last updated Mar 19, 2024

Key facts

NPI
1851774061
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6321 (SD)
Practice address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone
(605) 347-7000
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
6321SDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6321 SD Yes

Addresses

Primary practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Mailing address

3401 Meadowbrook Dr
Rapid City, SD 57702-0543
Phone (605) 431-9038

Other providers in Fort Meade, SD

All providers in Fort Meade, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.