Andrew Michael Flint, PHARMD
Individual provider Active NPI Pharmacist · Broken Bow, NE
NPI 1134801426 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1134801426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17134 (NE)
- Practice address
- 540 S 8TH Ave
Broken Bow, NE 68822-2456 - Phone
- (308) 872-5231
- NPI assigned
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17134 | NE | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TGSC Ventures, LLC | Current |
Accepting new patients | |
| Holcomb Pharmacy PC | Past |
Accepting new patients |
Locations
540 S 8th Ave
Broken Bow, NE 68822
Phone (308) 872-5231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17134 | NE | Yes |
Addresses
Primary practice location
540 S 8TH Ave
Broken Bow, NE 68822-2456
Mailing address
540 S 8TH Ave
Broken Bow, NE 68822-2456
Phone (308) 872-5231
Other providers in Broken Bow, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.