AVERA MCKENNAN
AVERA MCKENNAN is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1669871000, based in Sioux Falls, SD. The organization lists 5 taxonomy classifications, with Long Term Care Pharmacy recorded as primary.
Getting there
The practice address on file is 4101 W MEMORY CIRCLE STE 120, Sioux Falls, SD 57107. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 100-1994 | SD | Long Term Care Pharmacy primary |
This provider holds licence 100-1994 issued in SD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 0345157103
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| South Dakota | O20081124000161 | Part B Supplier - Mass Immunization (roster Biller Only) |
| South Dakota | O20150310002111 | Dme Supplier - Pharmacy |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Long Term Care Pharmacy covers
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. NUCC Health Care Provider Taxonomy, code 3336L0003X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | 100-1994 | SD | primary |
| 333600000X | Pharmacy | — | — | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 3336C0004X | Compounding Pharmacy Compounding Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1669871000 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 21, 2014 |
| Last updated | Apr 29, 2025 |
| Status | Active |
| Practice address |
4101 W MEMORY CIRCLE STE 120 Sioux Falls, SD 57107 (855) 322-6922 Fax (855) 971-3544 |
| Mailing address |
3820 N POTSDAM AVE STE 2 Sioux Falls, SD 57104 |
| Other identifiers |
2147429
· Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 6 | 9 | 8 | 7 | 1 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 3 | 9 | 7 | 7 | 2 | 0 | 0 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.