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Avera Mckennan

Compounding Pharmacy in Sioux Falls, SD · enumerated 2012 · authorized official Ronald Place, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467711739

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Registry record

Entity type Organization (Type 2)
Legal business name Avera Mckennan
Other name <Unavail>
Practice address 4101 W Memory Cir Ste 115, Sioux Falls, SD, 57107
Fax (605) 322-3941
Enumeration date May 8, 2012
Last updated in NPPES Jul 24, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers · License PH29727 (FL) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 4140 (IA) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 1001973 (SD) Primary
3336C0004X Compounding Pharmacy Suppliers · License 263952 (MN) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 714 (NE) Secondary
3336C0004X Compounding Pharmacy Suppliers · License Y006782 (AZ) Secondary

Authorized official

Name Ronald Place
Title President/Ceo

Other identifiers

Identifier Type State Issuer
2134952 Other - PK

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.

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Frequently asked questions

What type of organization is Avera Mckennan?
Avera Mckennan is registered in NPPES as a Compounding Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-24.