Avera St Lukes
Oxygen Equipment & Supplies
305 S State St, Aberdeen
South Dakota, 57401-4527
605-622-5000 605-622-5255
Avera St Lukes is a Oxygen Equipment & Supplies in Aberdeen, South Dakota. This organization is also known as sub part of Hospital. It is located at 305 S State St, Aberdeen and it's customer support contact number is 605-622-5000. The authorized person of Avera St Lukes is Ronald L Jacobson who is Ceo of the pharmacy and his contact number is 605-622-5125. Active license number of Avera St Lukes is 10525 for Oxygen Equipment & Supplies in South Dakota. Avera St Lukes accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Avera St Lukes is definition to come...
Pharmacy Details:
Avera St Lukes 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 St Lukes |
| Type: | Oxygen Equipment & Supplies |
| Location: | 305 S State St, Aberdeen,
South Dakota, 57401-4527 |
| Phone: | 605-622-5000 |
| Fax: | 605-622-5255 |
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 L Jacobson |
| Position: | Ceo |
| Contact Number: | 605-622-5125 |
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: | 1912011867 |
| Parent Organization: | Hospital |
| NPI Enumeration Date: | 18 Aug, 2006 |
| NPI Last Update On: | 22 Oct, 2007 |
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 St Lukes are as mentioned below.
| Specialization | License Number | State | Status | |
| Oxygen Equipment & Supplies | 10525 | South Dakota | Primary | |
| Prosthetic/orthotic Supplier | 10525 | South Dakota | Secondary | |
| Institutional Pharmacy | 10525 | South Dakota | 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 |
| 9163240 | Medicaid | South Dakota | |
Medicare Enrollment:
Avera St Lukes 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 |
| 6406764927 | O20100930027210 | Avera St Lukes | DME SUPPLIER - PHARMACY |
Products Available:
Avera St Lukes has following products available for sale under medicare.
| Products: |
|---|
| • Cpap, Rads, & Related Supplies & Accessories | • Nebulizer Equipment & Supplies |
| • Oxygen Equipment & Supplies | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 305 S State St,
Aberdeen, South Dakota |
| Zip: | 57401-4527 |
| Phone Number: | 605-622-5000 |
| Fax Number: | 605-622-5255 |
Patients can reach Avera St Lukes at
305 S State St, Aberdeen, South Dakota or can
call on customer care at 605-622-5000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.