Organization Active NPI

CSRX, Inc.

Doing business as Medicine Shoppe Advanced Care Pharmacy

  • Long Term Care Pharmacy
  • Rapid City, SD
National Provider Identifier
1881864494
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CSRX, INC.
Doing business as
Medicine Shoppe Advanced Care Pharmacy
Practice address
5626 Fargo Lane
Ste 104
Rapid City, SD 57701-4645
Phone
(605) 348-2500
Fax
(605) 348-2622
NPI assigned
Mar 11, 2008
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Curtis D Rising, PHARMD
Title
Owner Pharmacist
Phone
(605) 348-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X SD Primary

Addresses

Primary practice location

5626 Fargo Lane
Ste 104
Rapid City, SD 57701-4645

Mailing address

1304 Mount Rushmore Rd
Rapid City, SD 57701-3667
Phone (605) 348-2500

Other identifiers 5

IdentifierTypeStateIssuer
8504500MedicaidSD
9162840MedicaidSD
138349MedicaidWY
21503MedicaidND
4354091OtherSDNCPDP

Other names 1

  • Medicine Shoppe Advanced Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060822000179 SD Part B Supplier - Mass Immunization (Roster Biller Only) 6204839806 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rapid City, SD
O20100930067545 SD DME Supplier - Pharmacy 6204839806 Practice locations: Rapid City, SD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medicine Shoppe Advanced Care Pharm5626 Fargo LN, Rapid City, SD 57701-4138(605) 348-2500 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 13, 2006

National Provider Directory

National Provider Directory
Tax ID family
CSRX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1308 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 348-2500

339 Saint Patrick St
Rapid City, SD 57701
Phone (605) 348-2500

5626 Fargo Ln
Rapid City, SD 57701

5626 Fargo Ln
Ste 104
Rapid City, SD 57701
Phone (605) 348-2500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1881864494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MOUNT RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013667",
            "telephone_number": "605-348-2500",
            "fax_number": "605-348-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 FARGO LANE",
            "address_2": "STE 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014645",
            "telephone_number": "605-348-2500",
            "fax_number": "605-348-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSRX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "605-348-2500",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504500",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9162840",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138349",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21503",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4354091",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe Advanced Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine Shoppe Advanced Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.