NPIMap

Organization Active NPI

J3A Inc

  • Community/Retail Pharmacy
  • Kearney, NE
National Provider Identifier
1104480151
Registry record updated May 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
J3A INC
Practice address
3611 2ND Ave
Kearney, NE 68847-8104
Phone
(308) 455-1555
Fax
(308) 708-2699
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2019

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

Authorized official

Name
Kimberly Ann Hamik, RPNPI 1992394233
Title
President/Owner
Phone
(308) 293-0816

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 Primary

Addresses

Primary practice location

3611 2ND Ave
Kearney, NE 68847-8104

Mailing address

3611 2ND Ave
Kearney, NE 68847-8104
Phone (308) 455-1555

Other names 1

  • U-Save Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200430001555 NE Part B Supplier - Mass Immunization (Roster Biller Only) 5193052603 Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558742400000",
    "number": "1104480151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478104",
            "telephone_number": "308-455-1555",
            "fax_number": "308-708-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478104",
            "telephone_number": "308-455-1555",
            "fax_number": "308-708-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J3A INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-05-25",
        "status": "A",
        "authorized_official_last_name": "HAMIK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "308-293-0816",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.