Avera McKennan
NPI 1467711739ActiveOrganization· Pharmacy, Compounding Pharmacy· Sioux Falls, SD
Pharmacy, Compounding Pharmacy in Sioux Falls, South Dakota, registered in NPPES in May 2012. The authorized official on file is Ronald Joseph Place, MD, President/Ceo.
Overview
| NPI | 1467711739 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2012 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | 1001973 | SD |
| Pharmacy | 333600000X | PH29727 | FL |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 4140 | IA |
| Pharmacy, Compounding Pharmacy | 3336C0004X | 263952 | MN |
| Pharmacy, Compounding Pharmacy | 3336C0004X | 714 | NE |
| Pharmacy, Compounding Pharmacy | 3336C0004X | Y006782 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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