Eugene Raymond Birchem, RPH
Individual provider Active NPI Pharmacist · Rapid City, SD
NPI 1972895688 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1972895688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4663 (SD)
- Practice address
- 540 Mountain View Rd
Rapid City, SD 57702-2535 - Phone
- (605) 342-6010
- NPI assigned
- May 12, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4663 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4663 | SD | Yes |
Addresses
Primary practice location
540 Mountain View Rd
Rapid City, SD 57702-2535
Mailing address
540 Mountain View Rd
Rapid City, SD 57702-2535
Phone (605) 342-6010
Other providers in Rapid City, SD
- Jesse Lee Biggins
- Chance Bila
- Tina Billings
- Abbygail Bingham
- Fredric M. Birch
- Kelli Jo Birdsall
- Tricia Birdwell
- Julie Birner
- Bethany Grace Bishop
- Amid Bitar
All providers in Rapid City, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. 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.