NORTHEAST NEBRASKA LTC, LLC (NPI# 1033502950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033502950 |
| Entity Type | Organization |
| Organization Name | NORTHEAST NEBRASKA LTC, LLC |
| Practice Address |
120 N 27th St Suite 200 Norfolk NE 68701-3286 |
| Practice Telephone | 4023713444 |
| Practice Fax Number | 4023713566 |
| Mailing Telephone | 4023713444 |
| Mailing Fax Number | 4023713566 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | MITCHELL E DEINES (MEMBER/DIRECTOR) |
| Authorized Official Telephone | 4022234779 |
| Authorized Official Credential | RP |
| Is Organization Subpart | Y |
| Parent Organization Name | VITAL CARE PHARMACY OF NORFOLK, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
605 | NE | Suppliers |
| Street Address |
120 N 27TH ST SUITE 200 |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-3286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255794822 | Justin Bennett | Pharmacist | 120 N 27th St, Suite 200, Norfolk, NE 68701-3286 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1710521133 | U-save Pharmacy Norfolk Inc | Pharmacy | 1001 W Benjamin Ave, Norfolk, NE 68701-2804 | 2019-10-29 |
| 1801452057 | Faith Regional Health Services | Pharmacy | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2019-05-14 |
| 1699891465 | Faith Regional Health Services | Pharmacy | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2007-03-22 |
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| 1982224234 | Rom Pharm, LLC | Pharmacy | 10043 Scott Cir Ste 105, Omaha, NE 68122-3052 | 2020-04-16 |
| 1568095115 | Syracuse Town & Country Pharmacy, Inc | Pharmacy | 1710 Poplar, Syracuse, NE 68446-6844 | 2020-02-21 |
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1710460001 | Overton Community Pharmacy | Pharmacy | 509 C St, Overton, NE 68863-5351 | 2018-09-12 |
| 1235617648 | Curtis Discount Pharmacy Inc | Pharmacy | 115 Center Avenue, Curtis, NE 69025-6902 | 2018-07-30 |
| 1790276103 | Harris Apothecaries LLC | Pharmacy | 635 15th Ave, Franklin, NE 68939-1509 | 2018-05-21 |
| 1558875237 | Robert Moser Inc | Pharmacy | 1821 S 11th St, Nebraska City, NE 68410-3474 | 2017-11-17 |
| 1518484039 | Tooleys Osceola Pharmacy | Pharmacy | 415 Hawkeye St, Osceola, NE 68651-4474 | 2017-08-25 |
| 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.