Brothers Pharmacies, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BROTHERS PHARMACIES, INC.

Practice address

100 Dakota Ave N Ste a
Huron, SD 57350-1630

Phone

(605) 352-9222

Fax

(605) 352-4861

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Shane J Clarambeau

Title

Owner/Pharmacist

Phone

(605) 352-9222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northside Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Brothers Pharmacies Inc

  • Community/Retail Pharmacy
  • Fort Pierre, SD
  • NPI 1700836251

  O20111109000134

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Clarambeau

  • Pharmacist
  • Huron, SD
  • NPI 1598245656
  NPD (past)
• Pamela Sue Ekern, PHARM D

  • Community/Retail Pharmacy
  • Brookings, SD
  • NPI 1649750399
  NPD (past)
• Corrina Hemmer

  • Pharmacist
  • Brookings, SD
  • NPI 1982253951
  NPD (past)
• Angela Le, PHARMD

  • Pharmacist
  • Huron, SD
  • NPI 1003470162
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1922058890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DAKOTA AVE N. SUITE A",
            "city": "HURON",
            "state": "SD",
            "postal_code": "57350",
            "telephone_number": "605-352-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAKOTA AVE N STE A",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573501630",
            "telephone_number": "605-352-9222",
            "fax_number": "605-352-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "CLARAMBEAU",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "605-352-9222"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8510040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Marie Brandenburg, RN, CNP
• Sara Braskamp, RD LN
• Brenon Farmer, DDS, P.C.
• Yukiko Brewer, MD
• Christopher Bronson, MD
• Paul K Brown, PA
• Bruce D Wintle DDS
• Kelly Jean Burke, PTA
• Jennifer Bushfield, PT
• Dale Theodore Bussell, P.T.

• Community/Retail Pharmacy in Huron, SD
• Providers in Huron, 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 Apr 30, 2021; 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.