Healthcare Provider Details

I. General information

NPI: 1346271806
Provider Name (Legal Business Name): COMMUNITY PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E COMMERCIAL AVE
GETTYSBURG SD
57442-1101
US

IV. Provider business mailing address

103 E COMMERCIAL AVE
GETTYSBURG SD
57442-1101
US

V. Phone/Fax

Practice location:
  • Phone: 605-765-9458
  • Fax: 605-765-2225
Mailing address:
  • Phone: 605-765-9458
  • Fax: 605-765-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number100-0981
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number100-0981
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JAMES R. STEPHENS
Title or Position: PRESIDENT
Credential:
Phone: 605-224-4538