Korbel Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2261 Issued in NE

Legal business name

KORBEL DRUG INC

Doing business as

Korbel Drug

Practice address

405 5TH St
Fairbury, NE 68352-2501

Phone

(402) 729-3104

Fax

(402) 729-3104

NPI assigned

Jul 30, 2006

Last updated

Dec 5, 2016By 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

Maria Campos Burkley, RPH

Title

MGR

Phone

(402) 729-3104

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• KORBEL DRUG Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1043225659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 5TH ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522501",
            "telephone_number": "402-729-3104",
            "fax_number": "402-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 5TH ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522501",
            "telephone_number": "402-729-3104",
            "fax_number": "402-729-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORBEL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "CAMPOS BURKLEY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "402-729-3104",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KORBEL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew James Johnson, PTA
• Rebekah Joy Kimberlin
• Bethany D Klaumann
• Megan M Knutson, APRN
• Jon Koop
• Tabitha Kroll
• Erin Kujath
• Staci C Kurmel, PHARMD
• Makena Lantz
• Megan Renee Larkins, PHAMD

• Community/Retail Pharmacy in Fairbury, NE
• Providers in Fairbury, 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 Dec 5, 2016; 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.