Midwest Health Innovations LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MIDWEST HEALTH INNOVATIONS LLC

Practice address

416 Main St
Scribner, NE 68057-3196

Phone

(402) 664-3133

Fax

(402) 664-3074

NPI assigned

Feb 8, 2024

Last updated

Sep 18, 2024By 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

Tillara L Kruse, PHARMDNPI 1053775700

Title

VP

Phone

(402) 664-3133

Specialties & licenses 1

Addresses

Other names 1

• Scribner Drugstore LTC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tillara Kruse, PHARMD

  • Pharmacist
  • Scribner, NE
  • NPI 1053775700
  NPD (past) Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1013771112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "SCRIBNER",
            "state": "NE",
            "postal_code": "680570439",
            "telephone_number": "402-664-3133",
            "fax_number": "402-664-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MAIN ST",
            "city": "SCRIBNER",
            "state": "NE",
            "postal_code": "680573196",
            "telephone_number": "402-664-3133",
            "fax_number": "402-664-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTH INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "TILLARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "402-664-3133",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scribner Drugstore LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelly Frazier
• Wendy Harrington
• Nathan William Jensen
• Tillara Kruse, PHARMD
• Sherry Sue McCray-Hopple
• Midwest Health Innovations LLC (Scribner Drugstore)
• Angela Robinson
• Lamain Lee Rucker Jr.
• Scribner-Snyder Community Schools
• Courtney Kathleen Streit

• Long Term Care Pharmacy in Scribner, NE
• Providers in Scribner, NE by specialty
• Long Term Care Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.