Avera Queen of Peace
NPI 1710359252 · Community/Retail Pharmacy · Mitchell, SD
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avera Queen of Peace is a Community/Retail Pharmacy organization in Mitchell, SD (NPI 1710359252).
Provider details
- NPI number
- 1710359252
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Douglas Ekeren, President/Ceo(605) 668-8321
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Avera Grassland Pharmacy
- Doing business as
- Avera Grassland Pharmacy
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2020-09-14
- Certified
- 2020-09-14
Frequently asked questions
- What is Avera Queen of Peace's NPI number?
- Avera Queen of Peace's National Provider Identifier (NPI) is 1710359252, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avera Queen of Peace?
- Avera Queen of Peace is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Avera Queen of Peace located?
- Avera Queen of Peace's practice location on file with NPPES is 1900 Grassland Dr, Mitchell, SD 57301.
- What is Avera Queen of Peace's phone number?
- The practice phone number listed in the NPPES registry for Avera Queen of Peace is (605) 995-5670.
- Does Avera Queen of Peace accept Medicare?
- Avera Queen of Peace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Avera Queen of Peace?
- The authorized official listed on Avera Queen of Peace's NPPES record is Douglas Ekeren, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avera Queen of Peace's NPI active?
- Yes — Avera Queen of Peace's NPI (1710359252) is active in the NPPES registry as of the last update on 2020-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.