FREMONT DRUGSTORE LLC (NPI# 1568999456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568999456 |
| Entity Type | Organization |
| Organization Name | FREMONT DRUGSTORE LLC |
| Other Organization Name | FREMONT DRUGSTORE |
| Practice Address |
1900 E Military Ave Ste 220 Fremont NE 68025-5433 |
| Mailing Address |
Po Box 484 Scribner NE 68057-0484 |
| Practice Telephone | 4028164554 |
| Practice Fax Number | 4028164558 |
| Mailing Telephone | 4026643133 |
| Mailing Fax Number | 4026643074 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MATTHEW KRUSE (PRESIDENT) |
| Authorized Official Telephone | 4026643133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3127 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2169059 | 01 | |
| NE | 10026659900 | 05 |
| Other Name | Type Code |
|---|---|
| FREMONT DRUGSTORE | Doing Business As Name - Organization |
| Street Address |
1900 E MILITARY AVE STE 220 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-5433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| 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 |
|---|---|---|---|---|
| 1568992857 | Lindenwood Rx, Inc | Pharmacy | 1860 Mowry Avenuew, Suite 102, Fremont, CA 94538-0300 | 2017-06-19 |
| 1770681827 | Grund Drug Co | Pharmacy | 227 S. Front St, Fremont, OH 43420 | 2006-09-20 |
| 1437261443 | Lewton and Assoc Health Care Service | Pharmacy | 824 W State St, Fremont, OH 43420-2538 | 2006-08-31 |
| 1548203862 | Longs Drug Stores California LLC | Pharmacy | 46445 Mission Blvd, Fremont, CA 94539-7909 | 2006-06-14 |
| 1881637676 | Longs Drug Stores California LLC | Pharmacy | 4020 Fremont Hub, Fremont, CA 94538-1322 | 2006-06-13 |
| 1609818426 | Longs Drug Stores California LLC | Pharmacy | 35720 Fremont Blvd, Fremont, CA 94536-3421 | 2006-06-13 |
| 1316498421 | Pansmart Inc | Pharmacy | 2557 Mowry Ave, Suite # 11, Fremont, CA 94538-1603 | 2016-10-24 |
| 1356699722 | Mowry Plaza Pharmacy Inc | Pharmacy | 668 Mowry Ave, Fremont, CA 94536-4113 | 2012-08-16 |
| 1518249432 | Walgreens | Pharmacy | 2600 Mowry Ave, Fremont, CA 94538-1619 | 2011-09-16 |
| 1891839965 | Save Mart Supermarkets | Pharmacy | 5000 Mowry Ave, Fremont, CA 94538-1045 | 2007-02-20 |
| Find all providers in FREMONT | ||||
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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.