NPIMap

Organization Active NPI

Service Drugs, Inc.

Doing business as Pertersen Drug

  • Community/Retail Pharmacy
  • Crawford, NE
National Provider Identifier
1245852185
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SERVICE DRUGS, INC.
Doing business as
Pertersen Drug
Practice address
202 Main St.
Crawford, NE 69339-1026
Phone
(308) 665-4138
Fax
(308) 665-4139
NPI assigned
May 14, 2020
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SERVICE DRUGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Andrew Petersen
Title
Owner
Phone
(308) 430-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

202 Main St.
Crawford, NE 69339-1026

Mailing address

302 Main St
Chadron, NE 69337-2395
Phone (308) 432-2400

Other names 1

  • Pertersen Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Service Drug Inc3 organizations share this tax ID, including this one
Part of
Service Drug Inc

Other organizations with this tax ID 2

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": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1245852185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372395",
            "telephone_number": "308-432-2400",
            "fax_number": "308-432-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAIN ST.",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "693391026",
            "telephone_number": "308-665-4138",
            "fax_number": "308-665-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE DRUGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERVICE DRUGS, INC.",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-430-5400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pertersen Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crawford, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.