Innovative Pharmacists Inc

Key facts

NPI: 1346323946
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 2394 (NE)
Legal business name: INNOVATIVE PHARMACISTS INC
Practice address: 419 N Colorado Ave
Minden, NE 68959-1654
Phone: (308) 832-2816
Fax: (308) 832-2047
NPI assigned: Oct 24, 2006
Organization subpart: No

Authorized official

Name: Dr. Tami L Hanson, PHARMD, R.P.
Title: Pharmacist in Charge
Phone: (308) 832-2816

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Samantha Jo McCartney, RPH Pharmacist · Minden, NE · NPI 1649732546

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
LT Pedley Drug 419 N Colorado Ave, Minden, NE 68959-1654 · (308) 832-2815	Nebulizer Drugs\|Oral Anticancer Drugs\|Oral Antiemetic Drugs\|Commodes, Urinals, Bedpans\|Blood Glucose Monitors/Supplies (Non-Mail Order)\|Heat & Cold Applications\|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies\|Canes and/or Crutches\|Seat Lift Mechanisms\|Walkers\|Wheelchairs (Standar…	Accepts assignment Participating since Jan 1, 2006

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NE

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100930003327	NE	DME Supplier - Pharmacy DME Supplier - Medical Supply Company With Registered Pharmacist	9931220142	Practice locations: Minden, NE

National Provider Directory

Locations

419 N Colorado Ave
Minden, NE 68959
Phone (308) 832-2815

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	2394	NE	Yes

Addresses

Primary practice location

419 N Colorado Ave
Minden, NE 68959-1654

Mailing address

PO Box 108
419 N Colorado Ave
Minden, NE 68959-0108
Phone (308) 832-2816

Other identifiers

Identifier	Type	State	Issuer
2803422	Other	NE	NCPDP

Other names

L T Pedley Drug Doing business as

Other providers in Minden, NE

All providers in Minden, 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 Apr 20, 2008. 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.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.