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AVERA MCKENNAN
NPI 1467711739
Pharmacy - Compounding Pharmacy in Sioux Falls, SD

Active since May 08, 2012
4101 W MEMORY CIR STE 115, SIOUX FALLS, SD 57107(605) 322-3940(605) 322-3941 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Jul 27, 2022 (2 updates tracked since 2022).

About Avera Mckennan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MCKENNAN (NPI 1467711739), doing business as Avera Compounding Pharmacy, is a healthcare organization registered as a compounding pharmacy in Sioux Falls, South Dakota and active in the NPI registry since May 2012. The organization lists Ronald Joseph Place, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1467711739
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameAVERA MCKENNAN
Location Address4101 W MEMORY CIR STE 115Sioux Falls, SD 57107-6503
Mailing Address4101 W Memory Cir Ste 115Sioux Falls, SD 57107-6503 · (605) 322-3940 · Fax (605) 322-3941
Phone(605) 322-3940
Fax(605) 322-3941
Organization SubpartNo
Authorized OfficialRonald Joseph PlacePresident/ceo · (605) 322-7903
Enumeration DateMay 8, 2012
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1467711739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Licenses✔ Licensed in SD · 1001973✔ Licensed in MN · 263952✔ Licensed in NE · 714✔ Licensed in AZ · Y006782
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X · License PH29727 (FL)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 4140 (IA)
4101 W MEMORY CIR STE 115, Sioux Falls, SD 57107
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Other Names 1

Doing Business AsAvera Compounding Pharmacy

Other Identifiers 1

Other2134952Pk

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1467711739. It was assigned to this organization in the NPPES registry on May 8, 2012. The provider is doing business as Avera Compounding Pharmacy.

Where is Avera Mckennan located?

Avera Mckennan is located at 4101 W Memory Cir Ste 115, Sioux Falls, SD 57107. The listed phone number is (605) 322-3940.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.