Active NPI
Poling Drug
- Pharmacist
- Beatrice, NE
National Provider Identifier
1245344134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8124
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47046561000 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
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.