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AVERA 69TH STREET PHARMACY
NPI 1962787440
Pharmacy in Sioux Falls, SD

Active since October 17, 2011
4400 W 69TH ST STE 300, SIOUX FALLS, SD 57108(605) 322-5948(605) 322-5949 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2018, Oct 28, 2016 (2 updates tracked since 2016).

About Avera 69th Street Pharmacy NPPES

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

AVERA 69TH STREET PHARMACY (NPI 1962787440) is a healthcare organization registered as a pharmacy in Sioux Falls, South Dakota and active in the NPI registry since October 2011. The organization lists Darrel Mutchler, Retail Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1962787440
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameAVERA MCKENNAN
Location Address4400 W 69TH ST STE 300Sioux Falls, SD 57108-8170
Mailing Address4400 W 69th St Ste 300Sioux Falls, SD 57108-8170 · (605) 322-5948 · Fax (605) 322-5949
Phone(605) 322-5948
Fax(605) 322-5949
Organization SubpartNo
Authorized OfficialDarrel MutchlerRetail Pharmacy Manager · (605) 322-8331
Enumeration DateOctober 17, 2011
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1962787440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Licenses✔ Licensed in IA · 4574✔ Licensed in SD · 100-1967✔ Licensed in NE · 1020
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 054.019698 (IL)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 264333 (MN)
4400 W 69TH ST STE 300, Sioux Falls, SD 57108
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Other Names 1

Doing Business AsAvera 69th Street Pharmacy

Other Identifiers 4

Medicaid1962787440SD
Other2132318Pk
Medicaid1962787440MN
Medicaid1962787440IA

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 ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA NOEL FUNKE PLAETZ
Pharmacist
4400 W 69TH ST STE 300
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5948

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 1962787440. It was assigned to this organization in the NPPES registry on October 17, 2011. The provider is doing business as Avera 69th Street Pharmacy.

Where is Avera Mckennan located?

Avera Mckennan is located at 4400 W 69th St Ste 300, Sioux Falls, SD 57108. The listed phone number is (605) 322-5948.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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 47 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 July 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.