Active NPI
Tilden Pharmacy
- Community/Retail Pharmacy
- Tilden, NE
National Provider Identifier
1154811701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 717
- Legal business name
- TILDEN PHARMACY
- Practice address
- 103 E 2ND St
Tilden, NE 68781-4793 - Phone
- (402) 368-5385
- Fax
- (402) 368-5386
- NPI assigned
- May 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danelle Charf
- Title
- Owenr/Pharmacist
- Phone
- (402) 887-5426
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 717 | NE | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
103 E 2ND St
Tilden, NE 68781-4793
Mailing address
103 E 2ND St
Pob 190
Tilden, NE 68781-4793
Phone (402) 368-5385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177575 | Other | PK |
Other names 1
- Hofmann Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526601600000",
"number": "1154811701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E 2ND ST",
"address_2": "POB 190",
"city": "TILDEN",
"state": "NE",
"postal_code": "687814793",
"telephone_number": "402-368-5385",
"fax_number": "402-368-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E 2ND ST",
"city": "TILDEN",
"state": "NE",
"postal_code": "687814793",
"telephone_number": "402-368-5385",
"fax_number": "402-368-5386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TILDEN PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-18",
"last_updated": "2018-05-18",
"status": "A",
"authorized_official_last_name": "CHARF",
"authorized_official_first_name": "DANELLE",
"authorized_official_title_or_position": "OWENR/PHARMACIST",
"authorized_official_telephone_number": "402-887-5426"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NE",
"license": "717",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2177575",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hofmann Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tilden, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.