Avera McKennan
NPI 1346266202ActiveOrganization· Pharmacy, Specialty Pharmacy· Sioux Falls, SD
Pharmacy, Specialty Pharmacy in Sioux Falls, South Dakota, registered in NPPES in July 2006. The authorized official on file is Ronald Jospeh Place, MD, President/Ceo. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1346266202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | 100-1867 | SD |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy | 333600000X | 261725 | MN |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 3254 | IA |
| Pharmacy, Specialty Pharmacy | 3336S0011X | 30747 | TX |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Y006781 | AZ |
| Pharmacy, Specialty Pharmacy | 3336S0011X | 637 | NE |
| Pharmacy, Specialty Pharmacy | 3336S0011X | PHAR396 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (SD) |
|---|
Other Pharmacy, Specialty Pharmacy providers in Sioux Falls
- 1386044980