AVERA PLAZA 2 PHARMACY – NPI #1861110876
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Health Care Provider Taxonomy Code for Pharmacy

AVERA PLAZA 2 PHARMACY is a pharmacy located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1861110876 to AVERA PLAZA 2 PHARMACY on August 16, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA PLAZA 2 PHARMACY” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 3 years ago on Aug 02, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA PLAZA 2 PHARMACY below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1861110876
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA PLAZA 2 PHARMACY
Primary location
1301 S CLIFF AVE STE 225
SIOUX FALLS, SD 57105-1068
Phone: (605) 504-0491 Fax: (605) 504-0492
Mailing address
911 E 20TH ST STE 500
SIOUX FALLS, SD 57105-1047
Phone: (605) 322-8493 Fax: (605) 322-8453
Organization Subpart
No
Authorized Official
RONALD PLACE
PRESIDENT/CEO
Phone: (605) 322-7903
Updated
Certification Date
Aug 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.