Organization Active NPI

Poling Drug

  • Pharmacist
  • Beatrice, NE
National Provider Identifier
1245344134
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8124 Issued in NE
Legal business name
POLING DRUG
Practice address
711 Court St
Beatrice, NE 68310-3927
Phone
(402) 223-3529
Fax
(402) 223-3520
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Mr. Darrell Gene Jobman, RPH
Title
RP in Charge
Phone
(402) 223-3529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 8124 NE Primary

Addresses

Primary practice location

711 Court St
Beatrice, NE 68310-3927

Mailing address

711 East Court St.
Beatrice, NE 68310-3325
Phone (402) 223-3529

Other identifiers 1

IdentifierTypeStateIssuer
47046561000MedicaidNE

National Provider Directory

National Provider Directory

Locations

711 Court St
Beatrice, NE 68310
Phone (402) 223-3529

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1245344134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 EAST COURT ST.",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103325",
            "telephone_number": "402-223-3529",
            "fax_number": "402-223-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COURT ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103927",
            "telephone_number": "402-223-3529",
            "fax_number": "402-223-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLING DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "JOBMAN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "RP IN CHARGE",
        "authorized_official_telephone_number": "402-223-3529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "8124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47046561000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.