Valentine Clinic Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2254 Issued in NE

Legal business name

VALENTINE CLINIC PHARMACY

Practice address

272 N Main St
Valentine, NE 69201-1818

Phone

(402) 376-3531

Fax

(402) 376-3560

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Richard L Terry, R.P.

Title

President

Phone

(402) 376-3531

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003963760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692010176",
            "telephone_number": "402-376-3531",
            "fax_number": "402-376-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 N MAIN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011818",
            "telephone_number": "402-376-3531",
            "fax_number": "402-376-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-376-3531",
        "authorized_official_credential": "R.P."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8531160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice I Tetherow, MA,CPC,LMHP,NCC
• Joyce Elaine Thornton
• Autumn Rae Tucker, APRN
• Shelby Dian Vaisvilas, LCSW
• Valentine Area Community Senior Center, Inc
• Valentine Community Schools
• Valentine Dental Clinic
• Valentine Dental Clinic II LLC
• Valentine Dental Clinic LLC
• Valentine Medical Clinic, LLC

• Community/Retail Pharmacy in Valentine, NE
• Providers in Valentine, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.