Organization Active NPI

The Winner Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Winner, SD
National Provider Identifier
1891009783
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100-1959 Issued in SD
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

Updated by the provider on Aug 21, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1891009783MedicaidSD
4354279OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • The Winner 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
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 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

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.

Verify at the official NPI Registry.