Avera Queen of Peace
NPI 1679541825ActiveOrganization· Pharmacy· Mitchell, SD
Pharmacy in Mitchell, South Dakota, registered in NPPES in March 2006, part of Avera Queen of Peace. The authorized official on file is Douglas Ekeren, President/Ceo.
Overview
| NPI | 1679541825 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Avera Queen of Peace |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Jul 15, 2022 |
| Certified by provider | Jul 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 100-1023 | SD |
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 |
|---|
Other Pharmacy providers in Mitchell
- 1063467231