Pearson Drug and Jewelry Co.

Organization Active NPI Pharmacy · Sisseton, SD

NPI 1942385372 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1942385372
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
100-0963 (SD)
Legal business name
PEARSON DRUG AND JEWELRY CO.
Practice address
420 Veterans Ave
Sisseton, SD 57262-1402
Phone
(605) 698-3622
Fax
(605) 698-3622
NPI assigned
Oct 26, 2006
Organization subpart
No

Authorized official

Name
Mr. Timothy Julian Pearson, PD NPI 1205911633
Title
President/Chief Pharmacist
Phone
(605) 698-3622

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Locations

420 Veterans Ave
Sisseton, SD 57262
Phone (605) 698-3622

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 100-0963 SD Yes

Addresses

Primary practice location

420 Veterans Ave
Sisseton, SD 57262-1402

Mailing address

420 Veterans Ave
Sisseton, SD 57262-1402
Phone (605) 698-3622

Other identifiers

IdentifierTypeStateIssuer
8501312MedicaidSD
9161370MedicaidSD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942385372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VETERANS AVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572621402",
            "telephone_number": "605-698-3622",
            "fax_number": "605-698-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 VETERANS AVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572621402",
            "telephone_number": "605-698-3622",
            "fax_number": "605-698-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON DRUG AND JEWELRY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "605-698-3622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SD",
            "license": "100-0963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8501312",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9161370",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

All providers in Sisseton, SD · Pharmacy in South Dakota

Sources for this page

Verify at the official NPI Registry.