Individual provider Active NPI

Shaymous Juhnke, PHARM.D.

  • Pharmacist
  • Sioux Falls, SD
National Provider Identifier
1871101287
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6780 Issued in SD
Practice address
2503 E 54TH St N
Sioux Falls, SD 57104-5563
Phone
(605) 978-3900
NPI assigned
Jul 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6780 SD Primary

Addresses

Primary practice location

2503 E 54TH St N
Sioux Falls, SD 57104-5563

Mailing address

26743 465TH Ave
Hartford, SD 57033-6927
Phone (605) 595-3457

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shaymous.juhnke@IHS.gov Direct
Direct Messaging Address shaymous.juhnke@medvantx.com Direct

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6780SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ameripharm, Inc PastSince Aug 23, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shaymous.juhnke@ihs.gov

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1871101287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26743 465TH AVE",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570336927",
            "telephone_number": "605-595-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E 54TH ST N",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045563",
            "telephone_number": "605-978-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHNKE",
        "first_name": "SHAYMOUS",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "6780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaymous.juhnke@IHS.gov",
            "affiliation": "N",
            "endpointDescription": "gov email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email contact",
            "address_1": "119 S 1st Ave",
            "city": "Martin",
            "state": "SD",
            "country_code": "US",
            "postal_code": "575515835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaymous.juhnke@medvantx.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2503 E 54th St N",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571045563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.