LOUDERBACK DRUG OF MADISON, INC. (NPI# 1518599257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518599257 |
| Entity Type | Organization |
| Organization Name | LOUDERBACK DRUG OF MADISON, INC. |
| Practice Address |
201 S Main St Madison NE 68748-6485 |
| Mailing Address |
Po Box 389 Madison NE 68748-0389 |
| Practice Telephone | 4024542525 |
| Practice Fax Number | 4024542945 |
| Mailing Telephone | 4024542525 |
| Mailing Fax Number | 4024542945 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | BRETT JOSEPH LOUDERBACK (PRESIDENT) |
| Authorized Official Telephone | 4024542525 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDERBACK DRUG OF MADISON, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| LOUDERBACK DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609141183 | Louderback Drug of Madison, Inc. | Pharmacy | 517 E Broadway St, Wausa, NE 68786-1559 | 2012-03-15 |
| Street Address |
201 S MAIN ST |
| City | MADISON |
| State | NE |
| Zip Code | 68748-6485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346384187 | Brett Joseph Louderback | Pharmacist | 201 S Main St, Pob 389, Madison, NE 68748-6485 | 2007-02-16 |
| 1497869465 | Louderback Drug of Madison Inc | Pharmacy | 201 S Main St, Madison, NE 68748-6485 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912084641 | City of Madison | Ambulance | 211 South Lincoln, Madison, NE 68748-0527 | 2006-11-01 |
| 1558614172 | Katie L Wood | Physician Assistant | 118 W 3rd St, Madison, NE 68748-0595 | 2012-10-19 |
| 1578585048 | Gary N Bring | Dentist | 203 So. Main St., Madison, NE 68748-1207 | 2006-07-24 |
| 1144308271 | Kristi L Jagels | Physical Therapist | 119 Saddle Lane, Madison, NE 68748-6009 | 2006-11-02 |
| 1427656776 | Jacqueline Sue Wegener | Physical Medicine & Rehabilitation | 703 N Main St, Madison, NE 68748-6009 | 2020-10-09 |
| 1811501596 | Arbor Care Centers - Countryside LLC | Assisted Living Facility | 703 N Main St, Madison, NE 68748-6009 | 2020-09-01 |
| 1205182268 | Mariah Delmont | Physical Medicine & Rehabilitation | 703 N Main St, Madison, NE 68748-6009 | 2012-07-27 |
| 1902881022 | Countryside Home | Skilled Nursing Facility | 703 N Main St, Madison, NE 68748-6009 | 2005-12-13 |
| 1508324922 | Janet Marie Pfeifer | Registered Nurse | 700 S Kent St, Madison, NE 68748-6279 | 2019-03-05 |
| 1417415019 | Lisa Alice Holoubek | Registered Nurse | 700 S Kent St # 450, Madison, NE 68748-6279 | 2019-03-04 |
| Find all providers in zip 68748 | ||||
| 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] |
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| 1447458278 | Direct Pharmaceutical Inc. Pharmacy | Pharmacy | 7293 Wall Triana Hwy, Suite C, Madison, AL 35757-8036 | 2007-07-03 |
| 1972611812 | Pp Acquisition Company, LLC | Pharmacy | 2818 Progress Rd, Madison, WI 53716-3338 | 2006-08-29 |
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| 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.