1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Pharmacy
  6. NPI Profile

AVERA MCKENNAN
NPI 1669871000
Pharmacy - Long Term Care Pharmacy in Sioux Falls, SD

Active since August 21, 2014
4101 W MEMORY CIRCLE, STE 120, SIOUX FALLS, SD 57107(855) 322-6922(855) 971-3544 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1669871000), doing business as Avera Long Term Care Pharmacy, is a healthcare organization registered as a long term care pharmacy in Sioux Falls, South Dakota and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Sioux Falls and lists Ronald Joseph Place, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1669871000
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameAVERA MCKENNAN
Location Address4101 W MEMORY CIRCLE, STE 120Sioux Falls, SD 57107-6504
Mailing Address3820 N Potsdam Ave Ste 2Sioux Falls, SD 57104-7057 · (605) 322-1450 · Fax (605) 322-1451
Phone(855) 322-6922
Fax(855) 971-3544
Organization SubpartNo
Authorized OfficialRonald Joseph PlacePresident/ceo · (605) 322-7903
Enumeration DateAugust 21, 2014
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1669871000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in SD · 100-1994
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
4101 W MEMORY CIRCLE, Sioux Falls, SD 57107
Open in Google Maps ↗

Other Names 1

Doing Business AsAvera Long Term Care Pharmacy

Secondary Practice Location 1

Location 13820 N Potsdam Ave Ste 2Sioux Falls, SD 57104-7057 · Phone (605) 322-1450 · Fax (605) 322-1451

Other Identifiers 1

Other2147429Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
2,819 services2,813 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
2,347 services2,347 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
227 services227 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
223 services223 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Avera Long Term Care Pharmacy carries, from the Medicare DMEPOS supplier directory.

Avera Long Term Care Pharmacy

DMEPOS supplier · Sioux Falls, SDOperated by Avera Mckennan
✔

Accepts Medicare assignment

Avera Long Term Care Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20667419
Medicare Participant SinceAugust 1, 1996
Supplier Location3820 N Potsdam Ave Ste 2Sioux Falls, SD 57104
Phone(605) 322-1450
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1669871000. It was assigned to this organization in the NPPES registry on August 21, 2014. The provider is doing business as Avera Long Term Care Pharmacy.

Where is Avera Mckennan located?

Avera Mckennan is located at 4101 W Memory Circle Ste 120, Sioux Falls, SD 57107. The listed phone number is (855) 322-6922.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Avera Mckennan accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Avera Long Term Care Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Avera Mckennan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.