PANHANDLE COOPERATIVE ASSOCIATION (NPI# 1255407094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255407094 |
Entity Type | Organization |
Organization Name | PANHANDLE COOPERATIVE ASSOCIATION |
Other Organization Name | PANHANDLE COOP PHARMACY |
Practice Address |
401 S Beltline Hwy W Scottsbluff NE 69361-1314 |
Mailing Address |
Po Box 2188 Scottsbluff NE 69363-2188 |
Practice Telephone | 3086323900 |
Practice Fax Number | 3086325856 |
Mailing Telephone | 3086323900 |
Mailing Fax Number | 3086325856 |
Enumeration Date | 2006-11-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. WAYNE WILLIAM TERRELL (PHARMACY M ANAGER) |
Authorized Official Telephone | 3086323900 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 9184 | NE | Pharmacy Service Providers |
Other Name | Type Code |
---|---|
PANHANDLE COOP PHARMACY | Doing Business As Name - Organization |
Street Address |
401 S BELTLINE HWY W |
City | SCOTTSBLUFF |
State | NE |
Zip Code | 69361-1314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
Find all providers in zip 69361 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649520586 | Jeremiah Matthew Reynolds | Pharmacist | 3911 Avenue B Ste M200, Scottsbluff, NE 69361-4617 | 2012-09-18 |
1235452111 | Kristina T Carey | Pharmacist | 802 E 27th St, Scottsbluff, NE 69361-1754 | 2010-03-08 |
1710002787 | Michelle Elaine Smith | Pharmacist | 3911 Avenue B Ste M-200, Scottsbluff, NE 69361-4617 | 2007-03-20 |
1942202759 | Elizabeth F Naylor | Pharmacist | 205 W 27th St, Scottsbluff, NE 69361-4307 | 2005-08-11 |
1700887783 | Ronald R Bahnsen | Pharmacist | 4021 Avenue B, Pharmacy Department, Scottsbluff, NE 69361-4602 | 2005-08-02 |
1942812581 | Solomon Nsiah | Pharmacist | 205 W 27th St, Scottsbluff, NE 69361-4307 | 2020-08-17 |
1528578218 | Michael Aaron Calvert | Pharmacist | 3322 Avenue I, Scottsbluff, NE 69361-4589 | 2017-10-07 |
1184133043 | Firas Al Sammour | Pharmacist | 3322 Avenue I, Scottsbluff, NE 69361-4589 | 2017-09-23 |
1124537097 | Brooke Heine | Pharmacist | 3322 Avenue I, Scottsbluff, NE 69361-4589 | 2017-09-23 |
1124537089 | Collin Lee Townsend | Pharmacist | 3322 Avenue I, Scottsbluff, NE 69361-4589 | 2017-09-22 |
Find all providers in SCOTTSBLUFF |
City | SCOTTSBLUFF |
Zip Code | 69361 |
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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.