# AVERA ST. MARY'S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera St. Mary's Campus Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932651122
- **Authorized official:** SHANTEL SHAMIELE KREBS (CEO/PRESIDENT)
- **Authorized official phone:** (605) 224-3144

## Contact information

- **Practice address:** 100 MAC LN, SUITE 101, PIERRE, SD 57501-3391
- **Practice address phone:** (605) 224-7334
- **Practice address fax:** (605) 945-4292
- **Mailing address:** 100 MAC LN, SUITE 101, PIERRE, SD 57501-3391
- **Mailing address phone:** (605) 224-7334
- **Mailing address fax:** (605) 945-4292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 100-2044 | SD | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 01/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2165791 | PK | — |