Organization Active NPI

Wollmans of Vermillion

Doing business as Choice Pharmacy

  • Community/Retail Pharmacy
  • Vermillion, SD
National Provider Identifier
1922043066
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100513 Issued in SD
Legal business name
WOLLMANS OF VERMILLION
Doing business as
Choice Pharmacy
Practice address
11 W Cherry St
Vermillion, SD 57069-1107
Phone
(605) 624-8038
Fax
(605) 624-8039
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Norm Kaufman, RPH
Title
Corp President
Phone
(605) 624-8038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 100513 SD Primary

Addresses

Primary practice location

11 W Cherry St
Vermillion, SD 57069-1107

Mailing address

PO Box 120
Freeman, SD 57029-0120

Other identifiers 2

IdentifierTypeStateIssuer
4303967OtherOTHER ID NUMBER-COMMERCIAL NUMBER
8504060MedicaidSD

Other names 1

  • CHOICE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choice Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922043066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570290120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691107",
            "telephone_number": "605-624-8038",
            "fax_number": "605-624-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLLMANS OF VERMILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "NORM",
        "authorized_official_title_or_position": "CORP PRESIDENT",
        "authorized_official_telephone_number": "605-624-8038",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4303967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504060",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.