Healthcare Provider Details

I. General information

NPI: 1194669242
Provider Name (Legal Business Name): SARAH SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 S MINNESOTA AVE
SIOUX FALLS SD
57105-5600
US

IV. Provider business mailing address

5130 S GRAYSTONE AVE UNIT 403
SIOUX FALLS SD
57108-7560
US

V. Phone/Fax

Practice location:
  • Phone: 605-367-2110
  • Fax:
Mailing address:
  • Phone: 909-800-5687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7326
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: