OrganizationActive
Sdsu Jackrabbit Pharmacy
NPI 1124177100 · Institutional Pharmacy · Brookings, SD
Sdsu Jackrabbit Pharmacy is a Institutional Pharmacy organization in Brookings, SD (NPI 1124177100).
Provider details
- NPI number
- 1124177100
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michaela Willis, Vp for Student Affairs(605) 688-4493
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
N Campus Dr
Sdsu Wellness Center Room 119
Brookings, SD 57007-0001
Phone: (605) 688-5410
Fax: (605) 688-5267
Approximate (ZIP-level) locationGet directions
Mailing address
1440 North Campus Dr Rm 102
Brookings, SD 57007
Other names (DBA / former)
- Doing business as
- Sdsu Jackrabbit Pharmacy
- Doing business as
- Sdsu Jackrabbit Pharmacy
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Frequently asked questions
- What is Sdsu Jackrabbit Pharmacy's NPI number?
- Sdsu Jackrabbit Pharmacy's National Provider Identifier (NPI) is 1124177100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sdsu Jackrabbit Pharmacy?
- Sdsu Jackrabbit Pharmacy is classified in the NPPES registry as Institutional Pharmacy (Suppliers).
- Where is Sdsu Jackrabbit Pharmacy located?
- Sdsu Jackrabbit Pharmacy's practice location on file with NPPES is N Campus Dr, Brookings, SD 57007-0001.
- What is Sdsu Jackrabbit Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Sdsu Jackrabbit Pharmacy is (605) 688-5410.
- Who is the authorized official for Sdsu Jackrabbit Pharmacy?
- The authorized official listed on Sdsu Jackrabbit Pharmacy's NPPES record is Michaela Willis, Vp for Student Affairs. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sdsu Jackrabbit Pharmacy's NPI active?
- Yes — Sdsu Jackrabbit Pharmacy's NPI (1124177100) is active in the NPPES registry as of the last update on 2021-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.