B & R Stores, Inc
Organization Active NPI Community/Retail Pharmacy · Lincoln, NE
NPI 1154437838 · NPPES record last updated Nov 9, 2012
Key facts
- NPI
- 1154437838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2020 (NE)
- Legal business name
- B & R STORES, INC
- Practice address
- 2662 Cornhusker Hwy
Lincoln, NE 68521-1464 - Phone
- (402) 466-7775
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Anthony Leo Schmid, PHARMD
- Title
- Director of Pharmacy
- Phone
- (402) 464-6297
Other NPIs on the same Medicare enrollment 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110811000480 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143349159 |
14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grand Island, NE; Columbus, NE; Lincoln, NE; Kearney, NE; Hastings, NE |
National Provider Directory
Locations
2662 Cornhusker Hwy
Lincoln, NE 68521
Phone (402) 466-7775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2020 | NE | Yes |
Addresses
Primary practice location
2662 Cornhusker Hwy
Lincoln, NE 68521-1464
Mailing address
2662 Cornhusker Hwy
Lincoln, NE 68521-1464
Phone (402) 466-7775
Other names
- Super Saver Pharmacy #9
Other providers in Lincoln, NE
- Narjes Kadhim Azeez
- Nawzad Abdullah Aziz
- Dagbeme Ange Aziz Azondekon
- Freddie Azondekon
- B & R Stores, Inc
- B & R Stores, Inc
- B & R Stores, Inc
- B & R Stores, Inc
- B & R Stores, Inc
- B & R Stores, Inc
All providers in Lincoln, NE · Community/Retail Pharmacy in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.