LOUDERBACK DRUG OF MADISON INC (NPI# 1497869465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497869465 |
| Entity Type | Organization |
| Organization Name | LOUDERBACK DRUG OF MADISON INC |
| Other Organization Name | LOUDERBACK DRUG |
| Practice Address |
201 S Main St Madison NE 68748-6485 |
| Mailing Address |
201 S Main St Po Box 389 Madison NE 68748-6485 |
| Practice Telephone | 4024542525 |
| Practice Fax Number | 4024542945 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | BRETT LOUDERBACK (PRESIDENT) |
| Authorized Official Telephone | 4024542525 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2671 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2055498 | 01 | |
| NE | 4708556900 | 05 |
| Other Name | Type Code |
|---|---|
| LOUDERBACK DRUG | Doing Business As Name - Organization |
| Street Address |
201 S MAIN ST |
| City | MADISON |
| State | NE |
| Zip Code | 68748-6485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599257 | Louderback Drug of Madison, Inc. | Pharmacy | 201 S Main St, Madison, NE 68748-6485 | 2020-02-11 |
| 1346384187 | Brett Joseph Louderback | Pharmacist | 201 S Main St, Pob 389, Madison, NE 68748-6485 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912084641 | City of Madison | Ambulance | 211 South Lincoln, Madison, NE 68748-0527 | 2006-11-01 |
| 1558614172 | Katie L Wood | Physician Assistant | 118 W 3rd St, Madison, NE 68748-0595 | 2012-10-19 |
| 1578585048 | Gary N Bring | Dentist | 203 So. Main St., Madison, NE 68748-1207 | 2006-07-24 |
| 1144308271 | Kristi L Jagels | Physical Therapist | 119 Saddle Lane, Madison, NE 68748-6009 | 2006-11-02 |
| 1427656776 | Jacqueline Sue Wegener | Physical Medicine & Rehabilitation | 703 N Main St, Madison, NE 68748-6009 | 2020-10-09 |
| 1811501596 | Arbor Care Centers - Countryside LLC | Assisted Living Facility | 703 N Main St, Madison, NE 68748-6009 | 2020-09-01 |
| 1205182268 | Mariah Delmont | Physical Medicine & Rehabilitation | 703 N Main St, Madison, NE 68748-6009 | 2012-07-27 |
| 1902881022 | Countryside Home | Skilled Nursing Facility | 703 N Main St, Madison, NE 68748-6009 | 2005-12-13 |
| 1508324922 | Janet Marie Pfeifer | Registered Nurse | 700 S Kent St, Madison, NE 68748-6279 | 2019-03-05 |
| 1417415019 | Lisa Alice Holoubek | Registered Nurse | 700 S Kent St # 450, Madison, NE 68748-6279 | 2019-03-04 |
| Find all providers in zip 68748 | ||||
| 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 |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1578955381 | Uptown Pharmacy | Pharmacy | 1042 Gluckstadt Rd, Suite D, Madison, MS 39110-6981 | 2015-03-03 |
| 1346651296 | Roundys Supermarkets Inc | Pharmacy | 6010 Cottage Grove Rd, Madison, WI 53718-1300 | 2014-05-14 |
| 1831536648 | Keystone Pharmacy, LLC | Pharmacy | 118 Weisenberger Road, Sutie #400, Madison, MS 39110 | 2013-06-03 |
| 1376885152 | Hy Vee Inc | Pharmacy | 675 S Whitney Way, Madison, WI 53711-1034 | 2013-03-20 |
| 1982943924 | District Council of Madison Inc | Pharmacy | 2033 Fish Hatchery Rd, Madison, WI 53725-9686 | 2013-02-12 |
| 1801028030 | Hy Vee Inc | Pharmacy | 3801 E Washington Ave, Madison, WI 53704-3648 | 2009-08-21 |
| 1780875955 | Walgreen Co | Pharmacy | 129 Clifty Dr, Madison, IN 47250-1601 | 2007-08-05 |
| 1225238926 | Roundys Supermarkets Inc | Pharmacy | 3650 University Ave, Madison, WI 53705-2143 | 2007-07-20 |
| Find all providers in MADISON | ||||
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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.