Organization Active NPI

Gi Village Pharmacy

  • Long Term Care Pharmacy
  • Hastings, NE
National Provider Identifier
1053794297
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
612 Issued in NE
Legal business name
GI VILLAGE PHARMACY
Practice address
300 S 1St Ave
Hastings, NE 68901-6464
Phone
(402) 463-2441
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
VILLAGE PHARMACY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Matthew Joseph Schlachter, PHARM.D.
Title
Owner
Phone
(402) 463-2441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 612 NE Primary

Addresses

Primary practice location

300 S 1St Ave
Hastings, NE 68901-6464

Mailing address

4075 Timberline St
Grand Island, NE 68803-6553
Phone (308) 385-3535

Other identifiers 1

IdentifierTypeStateIssuer
612OtherNESTATE BOARD OF PHARMACY

National Provider Directory

National Provider Directory
Tax ID family
Gi Village Pharmacy3 organizations share this tax ID, including this one
Part of
Gi Village Pharmacy

Other organizations with this tax ID 2

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

Locations

4075 Timberline St
Grand Island, NE 68803
Phone (308) 384-3535

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1053794297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 TIMBERLINE ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688036553",
            "telephone_number": "308-385-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 1ST AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016464",
            "telephone_number": "402-463-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI VILLAGE PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE PHARMACY INC.",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SCHLACHTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-463-2441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "612",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.