Organization Active NPI

Syracuse Town & Country Pharmacy

Doing business as Syracuse Town and Country Phrmy

  • Community/Retail Pharmacy
  • Syracuse, NE
National Provider Identifier
1285695478
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1480 Issued in NE
Legal business name
SYRACUSE TOWN & COUNTRY PHARMACY
Doing business as
Syracuse Town and Country Phrmy
Syracuse U-Save Pharmacy
Practice address
1710 Poplar Street
Syracuse, NE 68446-9302
Phone
(402) 269-2001
Fax
(402) 269-2828
NPI assigned
Mar 29, 2006
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Ronda Stinson, RPNPI 1629081344
Title
Pharm Mang/Pic
Phone
(402) 269-2001

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
Community/Retail Pharmacy 3336C0003X 1480 NE Primary

Addresses

Primary practice location

1710 Poplar Street
Syracuse, NE 68446-9302

Mailing address

PO Box 220
Syracuse, NE 68446-0220
Phone (402) 269-2001

Other identifiers 1

IdentifierTypeStateIssuer
2053558OtherPK

Other names 2

  • SYRACUSE TOWN AND COUNTRY PHRMY Doing business as
  • SYRACUSE U-SAVE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100902000479 NE Part B Supplier - Mass Immunization (Roster Biller Only) 1153445770 Practice locations: Syracuse, NE
O20100930088673 NE DME Supplier - Pharmacy 1153445770 Practice locations: Syracuse, NE

National Provider Directory

National Provider Directory
Tax ID family
Town and Country Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1285695478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460220",
            "telephone_number": "402-269-2001",
            "fax_number": "402-269-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 POPLAR STREET",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684469302",
            "telephone_number": "402-269-2001",
            "fax_number": "402-269-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE TOWN & COUNTRY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "PHARM MANG/PIC",
        "authorized_official_telephone_number": "402-269-2001",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "1480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYRACUSE TOWN AND COUNTRY PHRMY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYRACUSE TOWN AND COUNTRY PHRMY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYRACUSE U-SAVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.