NPIMap

Organization Active NPI

Saunders Medical Center

Doing business as Saunders Medical Center LTC Pharmacy

  • Long Term Care Pharmacy
  • Wahoo, NE
National Provider Identifier
1326416850
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
3065 Issued in NE
Legal business name
SAUNDERS MEDICAL CENTER
Doing business as
Saunders Medical Center LTC Pharmacy
Practice address
1760 County Road J
Wahoo, NE 68066-4152
Phone
(402) 443-4191
Fax
(402) 443-1433
NPI assigned
Sep 15, 2015
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SAUNDERS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Julie Rezac
Title
Interim Chief Executive Officer
Phone
(402) 443-4191

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X 3065 NE Primary

Addresses

Primary practice location

1760 County Road J
Wahoo, NE 68066-4152

Mailing address

1760 County Road J
Wahoo, NE 68066-4152
Phone (402) 443-4191

Other identifiers 1

IdentifierTypeStateIssuer
2154052OtherPK

Other names 1

  • Saunders Medical Center LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saunders County Health de6 organizations share this tax ID, including this one
Part of
Saunders County Health de

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1326416850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUNDERS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAUNDERS MEDICAL CENTER",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-443-4191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saunders Medical Center LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saunders Medical Center LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wahoo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.