Organization Active NPI

Spamm LLC

Doing business as Medicine Man Pharmacy

  • Long Term Care Pharmacy
  • Schuyler, NE
National Provider Identifier
1235005380
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SPAMM LLC
Doing business as
Medicine Man Pharmacy
Practice address
122 W 16TH St
Schuyler, NE 68661-1668
Phone
(402) 352-3020
Fax
(402) 352-5820
NPI assigned
Oct 15, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Jedadiah Lewis, PHARMD
Title
Vice President
Phone
(402) 496-9757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

122 W 16TH St
Schuyler, NE 68661-1668

Mailing address

122 W 16TH St
Schuyler, NE 68661-1668
Phone (402) 352-3020

Other names 1

  • Medicine Man Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Man Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1235005380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W 16TH ST",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686611668",
            "telephone_number": "402-352-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W 16TH ST",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686611668",
            "telephone_number": "402-352-3020",
            "fax_number": "402-352-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAMM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JEDADIAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-496-9757",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Man Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schuyler, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.