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

Avera McKennan

Organization Pharmacy · NPI 1962787440

Avera McKennan is a Pharmacy in Sioux Falls, South Dakota. Licensed in Iowa, Illinois, Minnesota and Nebraska and 1 more. Registered with an NPI since 2011.

Licensed in
IA, IL, MN, NE, SD
In the registry since
2011
Specialties on file
5
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Practice location Address checks out

4400 W 69th St Ste 300
Sioux Falls, SD 57108-8170
Phone: (605) 322-5948
Fax: (605) 322-5949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 4574 (IA)
Pharmacy Taxonomy 333600000X · Licence 100-1967 (SD)
Pharmacy Taxonomy 333600000X · Licence 1020 (NE)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 054.019698 (IL)
Specialty Pharmacy Taxonomy 3336S0011X · Licence 264333 (MN)

Record details

NPI number1962787440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darrel Mutchler — Retail Pharmacy Manager · (605) 322-8331
Other names Avera 69th Street Pharmacy
NPI enumeratedOctober 17, 2011
Last updated in NPPESJuly 19, 2018
Mailing address4400 W 69th St Ste 300, Sioux Falls, SD 57108-8170

Other providers in Sioux Falls