Good Life Health Services Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

2274 Issued in NE

Legal business name

GOOD LIFE HEALTH SERVICES INC

Doing business as

Good Life Pharmacy

Practice address

125 S 16TH St
Ord, NE 68862

Phone

(308) 728-3295

Fax

(308) 728-3296

NPI assigned

Sep 22, 2006

Last updated

Aug 22, 2020By 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

Mr. James Frank Andreesen, RPNPI 1619579489

Title

Owner Pharmacist

Phone

(308) 728-3295

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Life Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Good Life Health Services Inc

  dba Good Life Pharmacy

  • Pharmacy
  • Loup City, NE
  • NPI 1912091091

  O20050422000963

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Good Life Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Good Life Health Services Inc

  • Long Term Care Pharmacy
  • Ord, NE
  • NPI 1447359559
  NPD tax ID
• Good Life Long Term Care

  • Long Term Care Pharmacy
  • Ord, NE
  • NPI 1407958846
  NPD tax ID

Locations

Practitioners 2

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.

• James F Andreesen

  • Pharmacist
  • Ord, NE
  • NPI 1619579489
  NPD (past) Authorized official
• Angela K. Svoboda, PHARM.D.

  • Pharmacist
  • Ord, NE
  • NPI 1245312594
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043319114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "ORD",
            "state": "NE",
            "postal_code": "68862",
            "telephone_number": "308-728-3295",
            "fax_number": "308-728-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 16TH ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "68862",
            "telephone_number": "308-728-3295",
            "fax_number": "308-728-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREESEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "308-728-3295",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2812115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blessy R Fieldgrove
• Thadius Ryon Fields, D.C.
• Sheryl Lee Flower
• Kelly Ann Geweke, APRN
• Beth L Gideon
• Good Life Health Services Inc
• Good Life Long Term Care
• Grand Living Alternatives
• Hazey Happold
• Penny Marie Harbourt

• Pharmacist in Ord, NE
• Providers in Ord, NE by specialty
• Pharmacist 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.
• 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.