Active NPI
Shaymous Juhnke, PHARM.D.
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1871101287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6780
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6780 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripharm, Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Mail Order Pharmacy
- Sioux Falls, SD
- NPI 1073692745
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.