NPIMap

Organization Active NPI

Redlers Prof Phcy Inc

  • Long Term Care Pharmacy
  • South Sioux City, NE
National Provider Identifier
1316049752
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
260 Issued in NE
Legal business name
REDLERS PROF PHCY INC
Practice address
1010 W 29TH St
Ste 214
South Sioux City, NE 68776
Phone
(402) 494-5542
Fax
(402) 494-2207
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Troy Redler, PHARMD
Title
VP
Phone
(402) 494-5542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X
Long Term Care Pharmacy 3336L0003X 260 NE Primary

Addresses

Primary practice location

1010 W 29TH St
Ste 214
South Sioux City, NE 68776

Mailing address

1010 W 29TH St
Ste 214
South Sioux City, NE 68776
Phone (402) 494-7943

Other identifiers 1

IdentifierTypeStateIssuer
2817267OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • REDLERS LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Redlers LTC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1316049752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 29TH ST",
            "address_2": "STE 214",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "68776",
            "telephone_number": "402-494-7943",
            "fax_number": "402-494-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 29TH ST",
            "address_2": "STE 214",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "68776",
            "telephone_number": "402-494-5542",
            "fax_number": "402-494-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLERS PROF PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "REDLER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "402-494-5542",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2817267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDLERS LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.