Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avera McKennan

Organization Pharmacy · NPI 1467711739

Avera McKennan is a Pharmacy in Sioux Falls, South Dakota. Licensed in Arizona, Florida, Iowa and Minnesota and 2 more. Registered with an NPI since 2012.

Licensed in
AZ, FL, IA, MN, NE, SD
In the registry since
2012
Specialties on file
6

Practice location Address checks out

4101 W Memory Cir Ste 115
Sioux Falls, SD 57107-6503
Phone: (605) 322-3940
Fax: (605) 322-3941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence 1001973 (SD)
Pharmacy Taxonomy 333600000X · Licence PH29727 (FL)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 4140 (IA)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 263952 (MN)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 714 (NE)
Compounding Pharmacy Taxonomy 3336C0004X · Licence Y006782 (AZ)

Record details

NPI number1467711739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Place — President/Ceo · (605) 322-7903
Other names Avera Compounding Pharmacy; Avera Compounding Pharmacy
NPI enumeratedMay 8, 2012
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4101 W Memory Cir Ste 115, Sioux Falls, SD 57107-6503

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