Hartford Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100-1873 Issued in SD

Legal business name

HARTFORD PHARMACY LLC

Doing business as

Medicap Pharmacy

Practice address

304 W. Highway 38
Suite 102
Hartford, SD 57033-0397

Phone

(605) 528-2000

Fax

(605) 528-2003

NPI assigned

Jun 13, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Gerard Reilly, RPHNPI 1700831211

Title

Member Manager

Phone

(605) 528-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicap Pharmacy Doing business as

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.

• Vincent Gerard Reilly, RPH

  • Pharmacist
  • Hartford, SD
  • NPI 1700831211
  NPD Authorized official
• Darren Kueter, PHARMD

  • Pharmacist
  • Hartford, SD
  • NPI 1891317590
  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1922041680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570330397",
            "telephone_number": "605-528-2000",
            "fax_number": "605-528-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W. HIGHWAY 38",
            "address_2": "SUITE 102",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570330397",
            "telephone_number": "605-528-2000",
            "fax_number": "605-528-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "605-528-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-1873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4353746",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504260",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hartford, SD
• Providers in Hartford, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.