EDG-FAM, INC (NPI# 1831173319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831173319 |
| Entity Type | Organization |
| Organization Name | EDG-FAM, INC |
| Other Organization Name | RIGHT DRUG STORE |
| Practice Address |
113 E Kimball St Callaway NE 68825-0130 |
| Mailing Address |
Po Box 130 Callaway NE 68825-0130 |
| Practice Telephone | 3088362219 |
| Practice Fax Number | 3088362625 |
| Mailing Telephone | 3088362219 |
| Mailing Fax Number | 3088362625 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2010-03-05 |
| Authorized Official Name | MR. ROBERT LEE EDGINGTON SR. (PRESIDENT) |
| Authorized Official Telephone | 3088362219 |
| Authorized Official Credential | PHARMACIST (RP) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 2095 | NE | Suppliers |
| Y | 333600000X | Pharmacy | 2095 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NABP | 2802115 | 01 |
| Other Name | Type Code |
|---|---|
| RIGHT DRUG STORE | Doing Business As Name - Organization |
| Street Address |
113 E KIMBALL ST |
| City | CALLAWAY |
| State | NE |
| Zip Code | 68825-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154252 | Mattison Idell Anderson | Speech-Language Pathologist | 101 N, S Needham Ave, Callaway, NE 68825 | 2020-08-13 |
| 1518405901 | Team Physical Therapy, P.C. | Clinic/Center | 207 South Grand Avenue, Callaway, NE 68825 | 2017-02-06 |
| 1710471537 | Tessa J Keeney | Physician Assistant | 211 E Kimball St, Callaway, NE 68825 | 2018-06-15 |
| 1861473829 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 600 W Kimball St, Callaway, NE 68825-0250 | 2005-11-08 |
| 1902107345 | Magdol PC | Pharmacy | 200 E Pacific St, Callaway, NE 68825-2500 | 2010-11-16 |
| 1023001724 | Ronald John Sheppard | Family Medicine | 213 E Kimball St, Callaway, NE 68825-2589 | 2005-08-26 |
| 1639217078 | Timothy Aaron Rosfeld | Physician Assistant | 211 E Kimball St, Callaway, NE 68825-2589 | 2007-02-01 |
| 1750399903 | Kenneth Leroy Loper | Family Medicine | 213 E Kimball St, Callaway, NE 68825-2589 | 2006-08-04 |
| 1750630661 | Callaway Good Life Center Inc | Skilled Nursing Facility | 600 W Kimball St, Callaway, NE 68825-2592 | 2012-09-06 |
| 1952534323 | Kristen Ann Rickertsen | Nurse Practitioner | 213 East Kimball Street, Callaway, NE 68825-2596 | 2009-09-01 |
| Find all providers in zip 68825 | ||||
| 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 |
|---|---|---|---|---|
| 1710918834 | K Mart Corp | Pharmacy | 225 S Tyndall Pkwy, Callaway, FL 32404-6739 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871066159 | Pender Care Centre District Inc | Pharmacy | 1003 S Main St Ste 2, Emerson, NE 68733-3613 | 2019-01-09 |
| 1639640071 | Csr Company, Inc. | Pharmacy | 11701 Centennial Rd Ste 2and3, La Vista, NE 68128-5578 | 2018-12-11 |
| 1629543665 | Sakrx, LLC | Pharmacy | 808 N 27th St, Lincoln, NE 68503-2523 | 2018-10-05 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1336614379 | Sakrx, LLC | Pharmacy | 1413 S Washington St Ste 125, Papillion, NE 68046-4165 | 2018-10-05 |
| 1093206062 | Keystonerx Corporation, Inc. | Pharmacy | 223 Box Butte Ave, Alliance, NE 69301-3741 | 2018-05-24 |
| 1073001244 | Alliance Community Pharmacy | Pharmacy | 315 Box Butte Ave, Alliance, NE 69301-3341 | 2018-04-24 |
| 1487165452 | B&r Stores Inc | Pharmacy | 5460 S 56th St, Lincoln, NE 68516-1879 | 2017-10-18 |
| 1568999456 | Fremont Drugstore LLC | Pharmacy | 1900 E Military Ave Ste 220, Fremont, NE 68025-5433 | 2017-05-22 |
| 1083147557 | Lamberts Family Pharmacy LLC | Pharmacy | 814 1st St, Gibbon, NE 68840-6206 | 2017-04-11 |
| 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.