Active NPI
Valley Apothecary
- Compounding Pharmacy
- Valley, NE
National Provider Identifier
1285035261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 2481
- Legal business name
- VALLEY APOTHECARY
- Practice address
- 123 E Gardiner St
Suite a
Valley, NE 68064-9798 - Phone
- (402) 359-2284
- Fax
- (402) 359-2285
- NPI assigned
- Sep 10, 2014
- 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
- Joseph Lathrop
- Title
- President
- Phone
- (402) 359-2284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | 2481 | NE | Primary |
Addresses
Primary practice location
123 E Gardiner St
Suite a
Valley, NE 68064-9798
Mailing address
PO Box 630
Valley, NE 68064-0630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055605 | Other | PK |
Other names 1
- VALLEY APOTHECARY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410307200000",
"number": "1285035261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 630",
"city": "VALLEY",
"state": "NE",
"postal_code": "680640630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E GARDINER ST",
"address_2": "SUITE A",
"city": "VALLEY",
"state": "NE",
"postal_code": "680649798",
"telephone_number": "402-359-2284",
"fax_number": "402-359-2285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY APOTHECARY",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A",
"authorized_official_last_name": "LATHROP",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-359-2284"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NE",
"license": "2481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2055605",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY APOTHECARY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valley, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.