Blair West Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8054 Issued in NE

Legal business name

BLAIR WEST PHARMACY

Practice address

1844 Washington St
Blair, NE 68008-1562

Phone

(402) 426-3700

Fax

(402) 426-3668

NPI assigned

Oct 2, 2006

Organization subpart

No

Name

Mike Comstock

Title

Owner

Phone

(402) 426-3700

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2007.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1295828119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 WASHINGTON ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081562",
            "telephone_number": "402-426-3700",
            "fax_number": "402-426-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 WASHINGTON ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081562",
            "telephone_number": "402-426-3700",
            "fax_number": "402-426-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR WEST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "COMSTOCK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-426-3700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "8054",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "8054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47053525500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Blair, NE
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.