NPIMap

Organization Active NPI

McCook Pharmacy & Medical Supply

  • Pharmacist
  • McCook, NE
National Provider Identifier
1104920339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2485 Issued in NE
Legal business name
MCCOOK PHARMACY & MEDICAL SUPPLY
Practice address
205 Norris Ave
McCook, NE 69001
Phone
(308) 345-2560
Fax
(308) 345-1947
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angela E Langan, RPNPI 1790984094
Title
President
Phone
(308) 345-2560

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 2485 NE Primary

Addresses

Primary practice location

205 Norris Ave
McCook, NE 69001

Mailing address

205 Norris Ave
McCook, NE 69001
Phone (308) 345-2560

National Provider Directory

National Provider Directory

Locations

205 Norris Ave
McCook, NE 69001
Phone (308) 345-2560

Practitioners & affiliated clinicians

Practitioners 3

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104920339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NORRIS AVE",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "69001",
            "telephone_number": "308-345-2560",
            "fax_number": "308-345-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NORRIS AVE",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "69001",
            "telephone_number": "308-345-2560",
            "fax_number": "308-345-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOOK PHARMACY & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-345-2560",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.