Avera St Lukes
Avera St Lukes is a healthcare organization registered as Institutional Pharmacy in Aberdeen, SD, holding Type 2 (organization) NPI 1386738102 since 2006. The authorized official on file is Ron Jacobson, Pres.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386738102 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera St Lukes |
| Other name | <Unavail> |
| Practice address | 305 S STATE ST, Aberdeen, SD, 57401 |
| Phone | 6056225545 |
| Fax | 6056225019 |
| Enumeration date | 2006-10-03 |
| Last updated in NPPES | 2007-09-13 |
Authorized official
| Name | Ron Jacobson |
|---|---|
| Title | Pres |
| Phone | 6056275625 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336I0012X | Institutional Pharmacy | Primary | 1000486 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8502660 | Medicaid | SD | — |
| 4300721 | Other | — | OTHER ID NUMBER |
Copy-ready billing details
Provider: Avera St Lukes NPI: 1386738102 Taxonomy: 3336I0012X (Institutional Pharmacy) Address: 305 S STATE ST, Aberdeen, SD, 57401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790789543 | Russell Pietz | Individual | Family Medicine Physician | Aberdeen, SD |
| 1366438814 | Alex Falk | Individual | Emergency Medicine Physician | Aberdeen, SD |
| 1003880402 | Shannon Young | Individual | Occupational Therapist | Aberdeen, SD |
| 1982679148 | Anesthesia Care Ltd | Organization | Anesthesiology Physician | Aberdeen, SD |
| 1457309270 | Avera St Lukes | Organization | General Acute Care Hospital | Aberdeen, SD |
| 1013968940 | Avera St Lukes | Organization | Medicare Defined Swing Bed Hospital Unit | Aberdeen, SD |
| 1003867029 | Avera St Lukes | Organization | Psychiatric Hospital Unit | Aberdeen, SD |
| 1649221664 | Avera St Luke'S | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Aberdeen, SD |
Verify this record
Cross-check NPI 1386738102 against the authoritative CMS record: view Avera St Lukes on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Avera St Lukes?
Who is the authorized official for Avera St Lukes?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2007-09-13.