AVERA ST LUKES PHARMACY – NPI #1386738102
Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

AVERA ST LUKES PHARMACY is a pharmacy located in ABERDEEN, SD. NPPES has assigned the NPI number 1386738102 to AVERA ST LUKES PHARMACY on October 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA ST LUKES PHARMACY” is a dba name, the actual legal business name for this organization is AVERA ST LUKES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336I0012X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Institutional Pharmacy

The NPI profile was previously updated about 19 years ago on Sep 13, 2007. 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 ST LUKES PHARMACY below.

NPI Profile for
AVERA ST LUKES

NPI Number
1386738102
Enumeration Date

(more than 19 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 ST LUKES
Doing Business As (dba): AVERA ST LUKES PHARMACY
Primary location
305 S STATE ST
ABERDEEN, SD 57401-4527
Phone: (605) 622-5545 Fax: (605) 622-5019
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RON JACOBSON
PRES
Phone: (605) 627-5625
Updated
Identifiers

Identifiers for AVERA ST LUKES PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROTHER ID NUMBER4300721
MEDICAIDSD8502660
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
3336I0012X
- Pharmacy / Institutional Pharmacy (Primary)
SD 1000486
3336L0003X
- Pharmacy / Long Term Care Pharmacy

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.