Organization
AVERA MCKENNAN
Active
Other names
Avera Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JOSPEH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
4101 W MEMORY CIR STE 135, SIOUX FALLS, SD 57107-6503
(605) 322-8300
(605) 322-8361
Mailing address
500 E 56TH ST N STE 3150, SIOUX FALLS, SD 57104-0408
(605) 322-8300
(605) 322-8361
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
261725
MN
3336C0003X
Community/Retail Pharmacy
3254
IA
3336S0011X
Specialty Pharmacy
Primary
100-1867
SD
3336S0011X
Specialty Pharmacy
30747
TX
3336S0011X
Specialty Pharmacy
637
NE
3336S0011X
Specialty Pharmacy
PHAR396
ND
3336S0011X
Specialty Pharmacy
Y006781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261606-00
—
NE
05
—
1346266202
—
IA
05
—
1346266202
—
MN
01
—
2094315
PK
—
05
—
8504220
—
SD
Enumeration date
07/14/2006
Last updated
07/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us