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
- Title
- President/Chief Pharmacist
- Phone
- (605) 698-3622
Practitioners 1
National Provider Directory
Locations
420 Veterans Ave
Sisseton, SD 57262
Phone (605) 698-3622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8501312 | Medicaid | SD | |
| 9161370 | Medicaid | SD |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.