TGSC Ventures, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TGSC VENTURES, LLC

Practice address

540 S 8TH Ave
Broken Bow, NE 68822-2456

Phone

(308) 872-5231

Fax

(308) 872-2377

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Tyler Gavin Sturgeon

Title

Pic

Phone

(308) 529-1224

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Frontier Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Frontier Family Pharmacy2 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.

• TGSC Ventures, LLC

  • Community/Retail Pharmacy
  • Cozad, NE
  • NPI 1689047458
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Michael Flint, PHARMD

  • Pharmacist
  • Broken Bow, NE
  • NPI 1134801426
  NPD
• Sarah Barbara Gibbens, PHARM D

  • Pharmacist
  • Broken Bow, NE
  • NPI 1740868967
  NPD
• Chad William Schulz, PHARMD

  • Pharmacist
  • Broken Bow, NE
  • NPI 1386476414
  NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1003456005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S 8TH AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222456",
            "telephone_number": "308-872-5231",
            "fax_number": "308-872-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S 8TH AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222456",
            "telephone_number": "308-872-5231",
            "fax_number": "308-872-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGSC VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "STURGEON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "308-529-1224"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026649601",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frontier Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Lea Stroup
• Lori Sullivan
• Michele Taylor, PLMHP
• Team Physical Therapy, P.C.
• Team Physical Therapy, P.C.
• Thomsen Chiropractic, LLC
• Riley Thomsen, D.C.
• Thryve Family Healthcare, LLC
• Trijon, P.C.
• Candi Tucker

• All providers in Broken Bow, NE
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.