NPIMap

Organization Active NPI

North Platte Pharmacy Inc

  • Community/Retail Pharmacy
  • North Platte, NE
National Provider Identifier
1053403139
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2828 Issued in NE
Legal business name
NORTH PLATTE PHARMACY INC
Practice address
211 W Leota St
North Platte, NE 69101-6103
Phone
(308) 532-0310
Fax
(308) 532-2781
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Mr. Travis Eugene Covey, RPNPI 1871701219
Title
Owner/Pic
Phone
(402) 672-1611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2828 NE Primary

Addresses

Primary practice location

211 W Leota St
North Platte, NE 69101-6103

Mailing address

211 W Leota St
North Platte, NE 69101-6103
Phone (308) 398-1964

Other identifiers 2

IdentifierTypeStateIssuer
10026653400MedicaidNE
2809690OtherNCPDP

Other names 1

  • U-SAVE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061023000557 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4284631953 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gretna, NE
O20180918001679 NE Part B Supplier - Mass Immunization (Roster Biller Only) 6406107200 Practice locations: North Platte, NE
O20180924003257 NE DME Supplier - Pharmacy 6406107200 Practice locations: North Platte, NE

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
North Platte Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1053403139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016103",
            "telephone_number": "308-398-1964",
            "fax_number": "308-384-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016103",
            "telephone_number": "308-532-0310",
            "fax_number": "308-532-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PLATTE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "COVEY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "402-672-1611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026653400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2809690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U-SAVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U-SAVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.