NPIMap

Organization Active NPI

Friendly Neighbor Healthcare, LLC

Doing business as Wells Drug

  • Pharmacist
  • Albion, NE
National Provider Identifier
1235120874
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1044 Issued in NE
Legal business name
FRIENDLY NEIGHBOR HEALTHCARE, LLC
Doing business as
Wells Drug
Practice address
113 S 4TH St
Albion, NE 68620-1215
Phone
(402) 395-2184
Fax
(402) 395-2185
NPI assigned
Nov 2, 2005
Last updated
Jul 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Mr. Kurt J CarraherNPI 1518119619
Title
Owner/Manager
Phone
(402) 395-2184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1044 NE Primary
Durable Medical Equipment & Medical Supplies 332B00000X 1044 NE
Long Term Care Pharmacy 3336L0003X 1044 NE

Addresses

Primary practice location

113 S 4TH St
Albion, NE 68620-1215

Mailing address

113 S 4TH St
Albion, NE 68620-1215
Phone (402) 395-2184

Other identifiers 1

IdentifierTypeStateIssuer
10026660801MedicaidNE

Other names 1

  • Wells Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170911001679 NE Part B Supplier - Mass Immunization (Roster Biller Only) 6507139706 Practice locations: Albion, NE
O20170914000688 NE DME Supplier - Pharmacy 6507139706 Practice locations: Albion, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Friendly Neighbor Healthcare LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

113 S 4th St
Albion, NE 68620
Phone (402) 395-2184

245 S 4th St
Albion, NE 68620
Phone (402) 395-2184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1235120874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S 4TH ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201215",
            "telephone_number": "402-395-2184",
            "fax_number": "402-395-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S 4TH ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201215",
            "telephone_number": "402-395-2184",
            "fax_number": "402-395-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY NEIGHBOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "CARRAHER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "402-395-2184",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "1044",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "1044",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "1044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026660801",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.

Verify at the official NPI Registry.