BLPS LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3034 Issued in NE

Legal business name

BLPS LLC

Doing business as

Medicine Man Pharmacy

Practice address

748 Main St
North Bend, NE 68649-5003

Phone

(402) 652-3217

Fax

(402) 652-8219

NPI assigned

May 2, 2014

Last updated

Dec 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitch Staiger, PHARMD

Title

Vice President/Pharmacist-in-Charge

Phone

(402) 652-3217

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Medicine Man Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• BP Inc

  dba Medicine Man Pharmacy

  • Community/Retail Pharmacy
  • Omaha, NE
  • NPI 1851448898

  Member Of

  NPD member

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.

• Ronald L Schindler, PHARMACIST

  • Pharmacist
  • North Bend, NE
  • NPI 1518097948
  NPD (past)

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1285044032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MAIN ST",
            "city": "NORTH BEND",
            "state": "NE",
            "postal_code": "686495003",
            "telephone_number": "402-652-3217",
            "fax_number": "402-652-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MAIN ST",
            "city": "NORTH BEND",
            "state": "NE",
            "postal_code": "686495003",
            "telephone_number": "402-652-3217",
            "fax_number": "402-652-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "STAIGER",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "VICE PRESIDENT/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "402-652-3217",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "3034",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE NUMBER",
            "identifier": "3034",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146052",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026406100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Man Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine Man Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Anderson
• Cydney Bachmann
• Bobette Reta Batenhorst
• Diane Borer
• Megan Beth Brokaw, RN
• Celebrate Life, Inc. (Birchwood Manor)
• Lindsey Marie Crook, PT
• Tammy L Dvorak, PTA

• Community/Retail Pharmacy in North Bend, NE
• Providers in North Bend, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.