Brothers Pharmacies Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

100-1897 Issued in SD

Legal business name

BROTHERS PHARMACIES INC

Doing business as

Shane's Pharmacy

Practice address

213 E Hustan Ave Ste a
Fort Pierre, SD 57532

Phone

(605) 223-9200

Fax

(605) 223-9201

NPI assigned

Dec 1, 2016

Last updated

Aug 6, 2021By 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

Shane Clarambeau

Title

Ceo/President

Phone

(605) 223-9200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Shane's Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Brothers Pharmacies 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.

• Brothers Pharmacies Inc

  dba Shanes Pharmacy

  • Community/Retail Pharmacy
  • Fort Pierre, SD
  • NPI 1700836251
  NPD tax ID

Locations

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1932642428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E HUSTAN AVE STE A",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "57532",
            "telephone_number": "605-223-9200",
            "fax_number": "605-223-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E HUSTAN AVE STE A",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "57532",
            "telephone_number": "605-223-9200",
            "fax_number": "605-223-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2021-08-06",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "CLARAMBEAU",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-223-9200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SD",
            "license": "100-1897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166389",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504350",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shane's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shane's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Ambur, MA, CCC-SLP
• Brothers Pharmacies Inc (Shanes Pharmacy)
• Hofer Family Dentistry (Missouri River Dentistry)
• Michelle Marie Hofer, D.D.S.
• Diane Alayne Inch, PA-C
• Jill L. Janecke, M.S., LPC-MH
• Jesse D. Olson

• Long Term Care Pharmacy in Fort Pierre, SD
• Providers in Fort Pierre, SD by specialty
• Long Term Care Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.