NEBRASKA CVS PHARMACY LLC (NPI# 1811339633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811339633 |
| Entity Type | Organization |
| Organization Name | NEBRASKA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY# 10243 |
| Practice Address |
1710 W 2nd St Grand Island NE 68803-5409 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 3083844089 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100263691-00 | 05 | |
| NCPDP | 2818574 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 10243 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366821944 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2307 23rd St, Columbus, NE 68601-3303 | 2015-05-28 |
| 1912333097 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1301 West Norfolk Ave, Norfolk, NE 68701 | 2013-09-19 |
| 1144585217 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6901 South 84th St, La Vista, NE 68128-2127 | 2012-07-05 |
| 1497012967 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8315w Center Rd, Omaha, NE 68124-3111 | 2012-04-20 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| 1699057760 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5611 South 27th St, Lincoln, NE 68512-1613 | 2011-09-15 |
| 1831479401 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 N 90th St, Omaha, NE 68114 | 2011-08-26 |
| 1629358064 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2609 S 132nd St, Omaha, NE 68144-2595 | 2011-08-17 |
| 1326341546 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1701 Galvin Rd S, Bellevue, NE 68005-3810 | 2010-12-09 |
| 1548562630 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14303 U St, Omaha, NE 68137-2666 | 2010-11-23 |
| Street Address |
1710 W 2ND ST |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318796 | Jared Dean Anderson | Pharmacist | 1710 W 2nd St, Grand Island, NE 68803-5409 | 2020-05-26 |
| 1356960165 | Tony Zheng | Pharmacist | 1710 W 2nd St, Grand Island, NE 68803-5409 | 2020-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710332101 | B & R Stores Inc | Pharmacy | 710 West State St, Grand Island, NE 68801 | 2016-05-04 |
| 1073906525 | B&r Stores, Inc | Pharmacy | 1602 W 2nd St, Grand Island, NE 68801-5766 | 2015-03-09 |
| 1780994566 | Gi Pharmacy Inc | Pharmacy | 423 W 4th St, Grand Island, NE 68801-4503 | 2010-10-14 |
| 1407069297 | Bens Drug Store Inc | Pharmacy | 3003 Frontage Rd, Ste 2, Grand Island, NE 68803-5500 | 2007-05-08 |
| 1992897052 | Mcm Pharmacy Inc | Pharmacy | 3224 W 13th St, Grand Island, NE 68803-2445 | 2006-09-28 |
| 1306879275 | Bens Drug Store Inc | Pharmacy | 123 West Third, Grand Island, NE 68801 | 2006-07-07 |
| 1306027644 | Tops Markets LLC | Pharmacy | 2140 Grand Island Blvd, Grand Island, NY 14072-2194 | 2007-11-15 |
| 1265449201 | Saint Francis Medical Center | Pharmacy | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2006-08-02 |
| 1609893700 | Walmart Inc. | Pharmacy | 2250 N Diers Ave, Grand Island, NE 68803-1258 | 2006-07-16 |
| 1891726923 | K Mart Corp | Pharmacy | 3535 W 13th St, Grand Island, NE 68803-3302 | 2006-07-06 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on NEBRASKA CVS PHARMACY LLC.
| 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.