Community Pharmacy Services LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

294 Issued in NE

Legal business name

COMMUNITY PHARMACY SERVICES LLC

Doing business as

Consonus Pharmacy Gretna

Practice address

21689 Northstar Dr
Gretna, NE 68028-4941

Phone

(402) 289-0431

Fax

(402) 289-0436

NPI assigned

May 7, 2007

Last updated

May 31, 2023By 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

Tami Laflen

Title

VP of Finance

Phone

(971) 206-5172

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Consonus Pharmacy Gretna Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Community Pharmacy Services LLC

  dba Consonus Pharmacy Overton

  • Long Term Care Pharmacy
  • Overton, NE
  • NPI 1710460001

  5890841209

  Same PAC ID
• Community Pharmacy Services LLC

  dba Consonus Pharmacy Ankeny

  • Long Term Care Pharmacy
  • Ankeny, IA
  • NPI 1184163289

  5890841209

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Community Pharmacy Services LLC

  dba Consonus Pharmacy Overton

  • Long Term Care Pharmacy
  • Overton, NE
  • NPI 1710460001

  O20090925000159

  Same enrollment

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1063624328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680280524",
            "telephone_number": "402-289-0431",
            "fax_number": "402-289-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21689 NORTHSTAR DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284941",
            "telephone_number": "402-289-0431",
            "fax_number": "402-289-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "LAFLEN",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "971-206-5172"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "294",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "3208",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025934600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103459",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consonus Pharmacy Gretna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ella Clarke
• Alicia K Clough, PA-C
• Patrick J Cockerill, DDS
• Ann Colgrove
• Anthony Dean Colgrove, PHARMD
• Addyson Connolly
• Andrew Consbruck, DPT
• Tammy Jean Consbruck, OTD
• McKenna Coogan, RN, BSN
• Kierstin Copenharve

• Long Term Care Pharmacy in Gretna, NE
• Providers in Gretna, 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 May 31, 2023; 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.