FOUR STAR DRUG OF WAVERLY (NPI# 1487727293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487727293 |
| Entity Type | Organization |
| Organization Name | FOUR STAR DRUG OF WAVERLY |
| Other Organization Name | FOUR STAR DRUG |
| Practice Address |
13851 Guildford St Suite D Waverly NE 68462 |
| Practice Telephone | 4027862222 |
| Practice Fax Number | 4027862502 |
| Mailing Telephone | 4027862222 |
| Mailing Fax Number | 4027862502 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. MONTY LEE SCHEELE (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 4024347701 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | FOUR STAR DRUG OF BETHANY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
278 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47607128202 | 05 |
| Other Name | Type Code |
|---|---|
| Four Star Drug | Doing Business As Name - Organization |
| Street Address |
13851 GUILDFORD ST SUITE D |
| City | WAVERLY |
| State | NE |
| Zip Code | 68462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851590459 | Ben J Sudbeck | Physical Medicine & Rehabilitation | 13851 Guildford St, Suite 2, Waverly, NE 68462-1453 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942683750 | Rocker Chiropractic PC | Chiropractor | 13220 Callum Drive Ste. 2, Waverly, NE 68462 | 2015-06-30 |
| 1134404189 | Heather M Eller-gilman | Counselor | 10630 N 136th St, Waverly, NE 68462 | 2011-10-20 |
| 1477699445 | City of Waverly | Ambulance | 10530 N. 141st, Waverly, NE 68462 | 2007-01-29 |
| 1871549592 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 11041 N 137th St, Waverly, NE 68462-1022 | 2006-05-25 |
| 1326695735 | Dell Marie Hobler | Occupational Therapy Assistant | 11041 N 137th St, Waverly, NE 68462-1022 | 2019-08-20 |
| 1669033072 | Bcp Waverly, LLC | Skilled Nursing Facility | 11041 N 137th St, Waverly, NE 68462-1022 | 2019-06-26 |
| 1750888731 | Shelby Ann Hutchings | Occupational Therapist | 11041 N 137th St, Waverly, NE 68462-1022 | 2018-04-06 |
| 1073937975 | Tina Rogers | Skilled Nursing Facility | 11041 N 137th St, Waverly, NE 68462-1022 | 2014-02-12 |
| 1225462526 | Barry Lee Schwab | Physical Therapist | 11041 N 137th St, Waverly, NE 68462-1022 | 2013-08-23 |
| 1407143787 | Lindsay Lueck | Physical Therapist | 11041 N 137th St, Waverly, NE 68462-1022 | 2011-07-07 |
| Find all providers in zip 68462 | ||||
| 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 |
|---|---|---|---|---|
| 1497302350 | Back Home Pharmacy Inc | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2019-08-23 |
| 1699255620 | Pharmhouse LLC | Pharmacy | 306 W Main St, Waverly, TN 37185-1513 | 2018-08-20 |
| 1083759963 | Main Street Drug LLC | Pharmacy | 211 West Main Street, Waverly, TN 37185-1510 | 2007-02-20 |
| 1750474938 | Waverly Pharmacy LLC | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852185 | Service Drugs, Inc. | Pharmacy | 202 Main St., Crawford, NE 69339-1026 | 2020-05-14 |
| 1770145492 | Our Town Pharmacy LLC | Pharmacy | 733 2nd St, Chappell, NE 69129-6876 | 2019-07-02 |
| 1952960783 | Lincoln Pharmacy LLC | Pharmacy | 3300 A Street, Ste 100, Lincoln, NE 68510-4512 | 2019-06-06 |
| 1457819922 | Providence Medical Center | Pharmacy | 803 Providence Rd Ste 101, Wayne, NE 68787-1590 | 2019-03-04 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1083128250 | Innovative Pain & Spine Specialists | Pharmacy | 7121 Stephanie Ln Ste 104, Lincoln, NE 68516-5359 | 2017-11-27 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1699191734 | Arborpharm, LLC | Pharmacy | 203 S 7th St, Ste B, Wymore, NE 68466 | 2014-03-13 |
| 1982020590 | B&r Stores, Inc | Pharmacy | 611 N Burlington Ave, Hastings, NE 68901-5037 | 2014-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FOUR STAR DRUG OF WAVERLY.
| 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.