Provider Demographics
NPI:1205973732
Name:JAMES PHARMACY INC
Entity type:Organization
Organization Name:JAMES PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FIEBELKORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-384-3541
Mailing Address - Street 1:201 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WAGNER
Mailing Address - State:SD
Mailing Address - Zip Code:57380-1727
Mailing Address - Country:US
Mailing Address - Phone:605-384-3541
Mailing Address - Fax:605-384-3079
Practice Address - Street 1:201 MAIN ST.
Practice Address - Street 2:
Practice Address - City:WAGNER
Practice Address - State:SD
Practice Address - Zip Code:57380
Practice Address - Country:US
Practice Address - Phone:605-384-3541
Practice Address - Fax:605-384-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD8500502Medicaid
SD9160142Medicaid
SD0686120001Medicare NSC