B&R Stores, Inc.
Organization Active NPI Community/Retail Pharmacy · Lincoln, NE
NPI 1295073708 · NPPES record last updated Jan 18, 2013
Key facts
- NPI
- 1295073708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 515 (NE)
- Legal business name
- B&R STORES, INC.
- Practice address
- 840 Fallbrook Blvd
Lincoln, NE 68521-6648 - Phone
- (402) 464-6297
- NPI assigned
- Jan 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Anthony Schmid
- Title
- Director of Pharmacy
- Phone
- (402) 464-6297
Other NPIs on the same Medicare enrollment 13
Corporate family (same tax ID) 11
Practitioners 1
-
Ashley Henrickson, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110811000480 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143349159 |
14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grand Island, NE; Columbus, NE; Lincoln, NE; Kearney, NE; Hastings, NE |
National Provider Directory
- Tax ID family
- BR Stores Inc
Locations
840 Fallbrook Blvd
Lincoln, NE 68521
Phone (402) 438-8870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 515 | NE | Yes |
Addresses
Primary practice location
840 Fallbrook Blvd
Lincoln, NE 68521-6648
Mailing address
840 Fallbrook Blvd
Lincoln, NE 68521-6648
Phone (402) 464-6297
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2818447 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Super Saver Pharmacy #27
Other providers in Lincoln, NE
- B & R Stores, Inc
- B & R Stores, Inc
- B & R Stores, Inc
- B-Elieve and Achieve Group Home Agency
- B&R Stores Inc
- Cassi Baack
- Dennise Baade
- Ruslan Babahanov
- Joel Babin
- Joely Babin
All providers in Lincoln, NE · Community/Retail Pharmacy in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.