Avera McKennan
NPI 1750442901ActiveOrganization· Pharmacy· Sioux Falls, SD
Pharmacy in Sioux Falls, South Dakota, registered in NPPES in December 2006. The authorized official on file is Ronald Joseph Place, MD, President/Ceo. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1750442901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Oct 6, 2023 |
| Certified by provider | Oct 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 1000452 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (SD) |
|---|
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