Active NPI
The Winner Pharmacy, Inc.
- Community/Retail Pharmacy
- Winner, SD
National Provider Identifier
1891009783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 100-1959
- Legal business name
- THE WINNER PHARMACY, INC.
- Practice address
- 620 W 2ND St
Winner, SD 57580-1218 - Phone
- (605) 842-7777
- Fax
- (605) 842-2271
- NPI assigned
- Aug 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Fiebelkorn
- Title
- President/Pharmacist
- Phone
- (605) 842-7777
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 100-1959 | SD | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
620 W 2ND St
Winner, SD 57580-1218
Mailing address
620 W 2ND St
Winner, SD 57580-1218
Phone (605) 842-7777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891009783 | Medicaid | SD | |
| 4354279 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- The Winner Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111018000837 | SD | DME Supplier - Pharmacy | 4688846520 | Practice locations: Winner, SD |
| O20121017000574 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688846520 | Practice locations: Winner, SD |
National Provider Directory
National Provider Directory- Tax ID family
- The Winner Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Winner, SD
- NPI 1821972274
Locations
702 W 2nd St
Winner, SD 57580
Phone (605) 842-7777
620 W 2nd St
Winner, SD 57580
Phone (605) 842-7777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1891009783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W 2ND ST",
"city": "WINNER",
"state": "SD",
"postal_code": "575801218",
"telephone_number": "605-842-7777",
"fax_number": "605-842-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W 2ND ST",
"city": "WINNER",
"state": "SD",
"postal_code": "575801218",
"telephone_number": "605-842-7777",
"fax_number": "605-842-2271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WINNER PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-03",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "FIEBELKORN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "605-842-7777"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SD",
"license": "100-1959",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891009783",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4354279",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Winner Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.