GROUP DPC, LLC (NPI# 1497388649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497388649 |
| Entity Type | Organization |
| Organization Name | GROUP DPC, LLC |
| Practice Address |
2206 Longo Dr Ste 209 Bellevue NE 68005-2977 |
| Practice Telephone | 4025097474 |
| Practice Fax Number | 4025096969 |
| Mailing Telephone | 4025097474 |
| Mailing Fax Number | 4025096969 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | CHARLES THURSTON TOMLINSON (OWNER/ PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 4026146363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Beyond Dispensing Pharmacy & Compounding | Doing Business As Name - Organization |
| Street Address |
2206 LONGO DR STE 209 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| Find all providers in zip 68005 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1497897334 | Paul J Ruwe Inc | Pharmacy | 103 Landmark Dr, Suite 140, Bellevue, KY 41073-1393 | 2007-02-13 |
| 1508907130 | Clark's Pharmacy Inc | Pharmacy | 15615 Bel Red Rd, Bellevue, WA 98008-2300 | 2007-02-08 |
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| 1235783945 | Innovative Rx, P.C. | Pharmacy | 416 W 48th St Ste 20, Kearney, NE 68845-1315 | 2019-07-31 |
| 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.