Organization · Type 2 NPI

Avera McKennan

Long Term Care Pharmacy · Sioux Falls, SD

NPI number 1669871000 Active

Practice location

4101 W Memory Circle, Ste 120
Sioux Falls, SD 57107-6504

Call (855) 322-6922 Map

Fax (855) 971-3544

Mailing address

3820 N Potsdam Ave Ste 2
Sioux Falls, SD 57104-7057

Other practice locations

3820 N Potsdam Ave Ste 2, Sioux Falls, SD 57104-7057 · (605) 322-1450

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed
Long Term Care Pharmacy Primary	3336L0003X	100-1994 (SD)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other long term care pharmacy providers in Sioux Falls

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NPI record

NPI: 1669871000
Entity type: Organization (Type 2)
Issued: Aug 21, 2014
Last updated: Apr 29, 2025
Status: Active

Other names

<unavail>
Avera Long Term Care Pharmacy · doing business as
Avera Long Term Care Pharmacy · doing business as

Authorized official

Ronald Joseph Place, MD
President/ceo
(605) 322-7903

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669871000

Avera McKennan's National Provider Identifier is 1669871000, issued on Aug 21, 2014. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Sioux Falls, SD. The record was last updated on Apr 29, 2025.