Avera McKennan
NPI 1205311628ActiveOrganization· Pharmacy· Sioux Falls, SD
Pharmacy in Sioux Falls, South Dakota, registered in NPPES in October 2018. The authorized official on file is Ronald Joseph Place, MD, President/Ceo. Medicare paid $18,343 for services to 88 patients in 2024.
Overview
| NPI | 1205311628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2018 |
| Last updated in NPPES | Oct 4, 2023 |
| Certified by provider | Oct 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 264 across 8 procedure codes |
| Paid by Medicare | $18,343 |
Other Pharmacy providers in Sioux Falls
- 1750442901
- 1861110876
- 1962787440
- 1215169941
- 1417979162
- 1649594961
- 1164746574
- 1952436099
- 1043097355
- 1295825297
- 1316719222
- 1457921116