Active NPI
B & R Stores, Inc
- Community/Retail Pharmacy
- Lincoln, NE
National Provider Identifier
1164539565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2330
- Legal business name
- B & R STORES, INC
- Practice address
- 4400 S 33Rd CT
Lincoln, NE 68516-1037 - Phone
- (402) 421-1333
- Fax
- (402) 434-7395
- NPI assigned
- Aug 23, 2006
- 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
- Anthony Leo Schmid, PHARMD
- Title
- Director of Pharmacy
- Phone
- (402) 464-6297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2330 | NE | Primary |
Addresses
Primary practice location
4400 S 33Rd CT
Lincoln, NE 68516-1037
Mailing address
4400 S 33Rd CT
Lincoln, NE 68516-1037
Phone (402) 421-1333
Other names 1
- Russ's Pharmacy #16
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| 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
National Provider DirectoryOwnership & related parties
Other NPIs on the same Medicare enrollment 13
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352419200000",
"number": "1164539565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 S 33RD CT",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685161037",
"telephone_number": "402-421-1333",
"fax_number": "402-434-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 S 33RD CT",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685161037",
"telephone_number": "402-421-1333",
"fax_number": "402-434-7395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B & R STORES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2012-11-09",
"status": "A",
"authorized_official_last_name": "SCHMID",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "LEO",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "402-464-6297",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NE",
"license": "2330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Russ's Pharmacy #16",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.