Professional Veterinary Products LTD

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

2841 Issued in NE

Legal business name

PROFESSIONAL VETERINARY PRODUCTS LTD

Doing business as

PVPL Pharmacy

Practice address

10077 S 134TH St
Omaha, NE 68138-3710

Phone

(402) 829-5239

Fax

(402) 829-5343

NPI assigned

Jul 31, 2009

Last updated

May 28, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer O'Grady

Title

Pic, Pharmacy Manager

Phone

(402) 829-5239

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PVPL Pharmacy Doing business as

Tax ID family

Professional Veterinary Products LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Veterinary Products LTC

  dba PVPL Pharmacy

  • Mail Order Pharmacy
  • York, PA
  • NPI 1982837514
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1003047507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10077 S 134TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681383710",
            "telephone_number": "402-829-5239",
            "fax_number": "402-829-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10077 S 134TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681383710",
            "telephone_number": "402-829-5239",
            "fax_number": "402-829-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL VETERINARY PRODUCTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "O'GRADY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC, PHARMACY MANAGER",
        "authorized_official_telephone_number": "402-829-5239"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NE",
            "license": "2841",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2817849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PVPL Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Mail Order Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.