Mitchell Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

534 Issued in NE

Legal business name

MITCHELL DRUG

Doing business as

Mitchell Drug LLC

Practice address

1456 Center Ave
Mitchell, NE 69357-1448

Phone

(308) 623-2400

Fax

(308) 623-2408

NPI assigned

Jul 11, 2013

Last updated

Aug 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Bailey

Title

President

Phone

(308) 623-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mitchell Drug LLC Doing business as

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1235570714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693570098",
            "telephone_number": "308-623-2400",
            "fax_number": "308-623-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 CENTER AVE",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693571448",
            "telephone_number": "308-623-2400",
            "fax_number": "308-623-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-623-2400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Drug LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carissa Haulman
• Anthony M Katalinas
• Jami Kumm, RN-BSN
• Little Treasures Daycare
• Kimberly Sue McAllister-Thomas, RN
• Mitchell Public Schools
• Stacy Eileen Murdock
• Miranda Nichols
• Kristin Parker
• Perkins Family Medicine, LLC

• Community/Retail Pharmacy in Mitchell, NE
• Providers in Mitchell, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.