NPIMap

Organization Active NPI

Gac, Inc.

Doing business as ViaRx

  • Pharmacy
  • Omaha, NE
National Provider Identifier
1265863880
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
552 Issued in NE
Legal business name
GAC, INC.
Doing business as
ViaRx
ViaRx Pharmacy
Practice address
825 N 90TH St
Omaha, NE 68114
Phone
(402) 614-6363
Fax
(402) 505-4397
NPI assigned
Dec 7, 2013
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Charles Thurston Tomlinson, RPH.DNPI 1558924589
Title
Owner/Pic
Phone
(402) 614-6363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 552 NE Primary
Community/Retail Pharmacy 3336C0003X 552 NE

Addresses

Primary practice location

825 N 90TH St
Omaha, NE 68114

Mailing address

825 N 90TH St
Omaha, NE 68114-2702
Phone (402) 614-6363

Other practice location 1

2808 N 75th St
Omaha, NE 68134-6861
Phone (402) 319-4025

Other names 3

  • ViaRx Doing business as
  • ViaRx Pharmacy Doing business as
  • GAC, inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20181126001110 NE Part B Supplier - Mass Immunization (Roster Biller Only) 1254685571 Practice locations: Omaha, NE
O20201005001862 NE Part B Supplier - Pharmacy 1254685571 Practice locations: Omaha, NE
O20210202003320 NE Part B Supplier - Independent Clinical Laboratory 1254685571 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

825 N 90th St
Ste 200
Omaha, NE 68114
Phone (402) 614-6363

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": "1386374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1265863880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142702",
            "telephone_number": "402-614-6363",
            "fax_number": "402-505-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-614-6363",
            "fax_number": "402-505-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 N 75th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681346861",
            "country_code": "US",
            "telephone_number": "402-319-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-07",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THURSTON",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "402-614-6363",
        "authorized_official_credential": "RPH.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "552",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ViaRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ViaRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ViaRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GAC, inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.