SILVER STREET COMPOUNDING PHARMACY, INC. (NPI# 1730326844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730326844 |
| Entity Type | Organization |
| Organization Name | SILVER STREET COMPOUNDING PHARMACY, INC. |
| Practice Address |
1415 Silver St Ashland NE 68003-1845 |
| Practice Telephone | 4029449843 |
| Practice Fax Number | 4029449413 |
| Mailing Telephone | 4029449843 |
| Mailing Fax Number | 4029449413 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | MRS. STACI LEE HUBERT (OWNER) |
| Authorized Official Telephone | 4029449843 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
2506 | NE | Suppliers |
| Street Address |
1415 SILVER ST |
| City | ASHLAND |
| State | NE |
| Zip Code | 68003-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376925826 | Julie Wischmann | Specialist/Technologist, Other | 773 County Rd 6, Ashland, NE 68003 | 2015-06-22 |
| 1174617450 | Jack Dean Cooper | Dentist | 705 N 17th Ave, Ashland, NE 68003 | 2006-10-03 |
| 1629000427 | Dean Stewart Warnke | Counselor | 22001 North Broadwell, Grand Island, NE 68003 | 2006-07-06 |
| 1477766939 | Michelle Lynn Bargen | Dentist | 2821 Furnas St, Ashland, NE 68003-1010 | 2007-05-08 |
| 1801122874 | Sarah Dawn Marie Rainey | Physical Therapist | 2517 Kendel Dr, Ashland, NE 68003-1024 | 2009-10-27 |
| 1760009781 | Invigorating Motion Physical Therapy | Physical Therapist | 2517 Kendel Dr, Ashland, NE 68003-1024 | 2020-06-26 |
| 1326341231 | Delores Jean Shaffer | Licensed Practical Nurse | 150 South 31st Street, Ashland, NE 68003-1048 | 2010-12-15 |
| 1649636770 | Kristina Lyn Smith | Nurse Practitioner | 163 County Road 7, Ashland, NE 68003-1173 | 2016-01-05 |
| 1477066421 | Real Life Health, LLC | Clinic/Center | 705 N 17th Ave, Ashland, NE 68003-1209 | 2017-11-13 |
| 1891240495 | Jack D Cooper | Dentist | 705 N 17th Ave, Ashland, NE 68003-1209 | 2016-08-24 |
| Find all providers in zip 68003 | ||||
| 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 |
| 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 |
| 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.