Avera Long Term Care Pharmacy is an authorized DME supplier for medicare equipments and products.
Avera Long Term Care Pharmacy is a Long Term Care Pharmacy in Sioux Falls, South Dakota. This pharmacy is owned and operated by Avera Mckennan. It is located at 3820 N Potsdam Ave Ste 2, Sioux Falls and it's customer support contact number is 605-322-1450. The authorized person of Avera Long Term Care Pharmacy is Ronald Joseph Place, MD who is President/ceo of the pharmacy and his contact number is 605-322-7903. Active license number of Avera Long Term Care Pharmacy is 100-1994 for Long Term Care Pharmacy in South Dakota. Avera Long Term Care Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Avera Long Term Care Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Avera Long Term Care Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Avera Long Term Care Pharmacy
Type:
Long Term Care Pharmacy
Location:
3820 N Potsdam Ave Ste 2, Sioux Falls, South Dakota, 57104-7057
Phone:
605-322-1450
Fax:
605-322-1451
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ronald Joseph Place
Credentials:
MD
Position:
President/ceo
Contact Number:
605-322-7903
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1669871000
NPI Enumeration Date:
21 Aug, 2014
NPI Last Update On:
04 Oct, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avera Long Term Care Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
100-1994
South Dakota
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Community/Retail Pharmacy
Secondary
Compounding Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2147429
Other
Pk
Medicare Enrollment:
Avera Long Term Care Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0345157103
O20081124000161
Avera Mckennan
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
0345157103
O20150310002111
Avera Mckennan
DME SUPPLIER - PHARMACY
Products Available:
Avera Long Term Care Pharmacy has following products available for sale under medicare.
Products
Infusion Pumps & Supplies: External Infusion
Parenteral Equipment And/or Supplies
Parenteral Nutrients
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3820 N Potsdam Ave Ste 2, Sioux Falls, South Dakota
Zip:
57104-7057
Phone Number:
605-322-1450
Fax Number:
605-322-1451
Patients can reach Avera Long Term Care Pharmacy at 3820 N Potsdam Ave Ste 2, Sioux Falls, South Dakota or can call on customer care at 605-322-1450.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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