PETES PHARMACY INC (NPI# 1174606198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174606198 |
| Entity Type | Organization |
| Organization Name | PETES PHARMACY INC |
| Other Organization Name | PETES PHARMACY |
| Practice Address |
643 G St Pawnee City NE 68420-0072 |
| Mailing Address |
Po Box 72 Pawnee City NE 68420-0072 |
| Practice Telephone | 4028522322 |
| Practice Fax Number | 4028522928 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | LARRY VONDERFECHT (OWNER) |
| Authorized Official Telephone | 4028522321 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1425 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2053357 | 01 |
| Other Name | Type Code |
|---|---|
| PETES PHARMACY | Doing Business As Name - Organization |
| Street Address |
643 G ST |
| City | PAWNEE CITY |
| State | NE |
| Zip Code | 68420-0072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437364601 | John T. Kobza | Dentist | 601 G St., Pawnee City, NE 68420 | 2007-05-11 |
| 1467564617 | Steven Paul Dokken | Dentist | 601 G Street, Pawnee City, NE 68420 | 2006-08-31 |
| 1730518697 | Kobza Dental, PC | Dentist | 601 G Street, Pawnee City, NE 68420 | 2013-11-01 |
| 1861529422 | Pawnee County Ambulance, Inc. | Ambulance | 600 I St, Pawnee City, NE 68420-0000 | 2007-02-28 |
| 1417431859 | Pawnee City Assisted Living Inc. | Assisted Living Facility | 330 12th St., Pawnee City, NE 68420-0463 | 2018-09-21 |
| 1265405211 | Richard E Jackson | Family Medicine | 600 I St, Pawnee City, NE 68420-3001 | 2006-02-09 |
| 1972077402 | Jamie Thorson | Physical Therapy Assistant | 600 I St, Pawnee City, NE 68420-3001 | 2019-01-17 |
| 1740772961 | Jessica Marie Ronnebaum | Physical Therapist | 600 I St, Pawnee City, NE 68420-3001 | 2018-06-04 |
| 1558852061 | Lisa Yoble | Physical Therapy Assistant | 600 I St, Pawnee City, NE 68420-3001 | 2018-05-21 |
| 1366958670 | Callin Jae Lenhart | Physical Medicine & Rehabilitation | 600 I St, Pawnee City, NE 68420-3001 | 2017-12-21 |
| Find all providers in zip 68420 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852185 | Service Drugs, Inc. | Pharmacy | 202 Main St., Crawford, NE 69339-1026 | 2020-05-14 |
| 1770145492 | Our Town Pharmacy LLC | Pharmacy | 733 2nd St, Chappell, NE 69129-6876 | 2019-07-02 |
| 1952960783 | Lincoln Pharmacy LLC | Pharmacy | 3300 A Street, Ste 100, Lincoln, NE 68510-4512 | 2019-06-06 |
| 1457819922 | Providence Medical Center | Pharmacy | 803 Providence Rd Ste 101, Wayne, NE 68787-1590 | 2019-03-04 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1083128250 | Innovative Pain & Spine Specialists | Pharmacy | 7121 Stephanie Ln Ste 104, Lincoln, NE 68516-5359 | 2017-11-27 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1699191734 | Arborpharm, LLC | Pharmacy | 203 S 7th St, Ste B, Wymore, NE 68466 | 2014-03-13 |
| 1982020590 | B&r Stores, Inc | Pharmacy | 611 N Burlington Ave, Hastings, NE 68901-5037 | 2014-03-07 |
| Find all providers with the same taxonomy | ||||
| City | PAWNEE CITY |
| Zip Code | 68420 |
Please comment or provide details below to improve the information on PETES PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.