NPIMap

Organization Active NPI

North Platte Pavilion Pharmacy Inc

  • Community/Retail Pharmacy
  • North Platte, NE
National Provider Identifier
1124473418
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3094 Issued in NE
Legal business name
NORTH PLATTE PAVILION PHARMACY INC
Practice address
611 W Francis St Ste 130
North Platte, NE 69101-0614
Phone
(308) 221-6993
Fax
(308) 221-6997
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Travis Covey, RPH
Title
Pharmacist,Ao
Phone
(308) 221-6993

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 3094 NE Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

611 W Francis St Ste 130
North Platte, NE 69101-0614

Mailing address

611 W Francis St Ste 130
North Platte, NE 69101-0614
Phone (308) 221-6993

Other identifiers 2

IdentifierTypeStateIssuer
10026570500MedicaidNE
2159808OtherPK

Other names 1

  • U-Save Pavilion Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

611 W Francis St
Ste 130
North Platte, NE 69101
Phone (308) 221-6993

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1124473418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 130",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-221-6993",
            "fax_number": "308-221-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 130",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-221-6993",
            "fax_number": "308-221-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PLATTE PAVILION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "COVEY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PHARMACIST,AO",
        "authorized_official_telephone_number": "308-221-6993",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "3094",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026570500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U-Save Pavilion 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 Mar 30, 2017; 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.