INNOVATIVE RX, P.C. (NPI# 1235783945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235783945 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE RX, P.C. |
| Practice Address |
416 W 48th St Ste 20 Kearney NE 68845-1315 |
| Practice Telephone | 3084303668 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | DR. RACHEL DALY (PHARMACIST) |
| Authorized Official Telephone | 3087085070 |
| Authorized Official Credential | PHARMD, R.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PHARMACY LICENSE NUMBER | 754 | 01 |
| Street Address |
416 W 48TH ST STE 20 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935001 | Rachel Daly | Pharmacist | 416 W 48th St Ste 20, Kearney, NE 68845-1315 | 2019-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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|---|---|---|---|---|
| 1497388649 | Group Dpc, LLC | Pharmacy | 2206 Longo Dr Ste 209, Bellevue, NE 68005-2977 | 2020-02-17 |
| 1386283893 | Jkrxllc | Pharmacy | 13110 W Dodge Rd Ste B, Omaha, NE 68154-2102 | 2019-12-31 |
| 1174976427 | Jsk Dba Rxsolutions | Pharmacy | 1225 Golden Gate Dr, Papillion, NE 68046-2837 | 2016-07-21 |
| 1285035261 | Valley Apothecary | Pharmacy | 123 E Gardiner St, Suite A, Valley, NE 68064-9798 | 2014-09-10 |
| 1194027177 | Vets First Choice | Pharmacy | 5013 S 110th St, Omaha, NE 68137-2376 | 2010-11-24 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1790925725 | Custom Rx, PC | Pharmacy | 540 S 8th Ave Ste B, Broken Bow, NE 68822-2456 | 2009-03-03 |
| 1730326844 | Silver Street Compounding Pharmacy, Inc. | Pharmacy | 1415 Silver St, Ashland, NE 68003-1845 | 2009-01-12 |
| 1407033855 | Kubat Custom Health Care Inc | Pharmacy | 4924 Center St Ste A1, Omaha, NE 68106-3219 | 2008-01-29 |
| 1144374679 | Tran Pharmacy Inc | Pharmacy | 2655 S 70th St, Ste C, Lincoln, NE 68506-2908 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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| 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.