Innovative Pharmacists Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2394 Issued in NE

Legal business name

INNOVATIVE PHARMACISTS INC

Doing business as

L T Pedley Drug

Practice address

419 N Colorado Ave
Minden, NE 68959-1654

Phone

(308) 832-2816

Fax

(308) 832-2047

NPI assigned

Oct 24, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tami L Hanson, PHARMD, R.P.

Title

Pharmacist in Charge

Phone

(308) 832-2816

Specialties & licenses 1

Addresses

Other names 1

• L T Pedley Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Jo McCartney, RPH

  • Pharmacist
  • Minden, NE
  • NPI 1649732546
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346323946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "address_2": "419 N COLORADO AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689590108",
            "telephone_number": "308-832-2816",
            "fax_number": "308-832-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N COLORADO AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591654",
            "telephone_number": "308-832-2816",
            "fax_number": "308-832-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHARMACISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "308-832-2816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, R.P."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L T Pedley Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee A Grams, APRN
• Jana Maree Green, M.S., CCC-SLP
• Sean Meneghello Griggs, MD
• Amanda Rose Hall-Warburton
• Jody Ann Hudson
• Chad Isaacson, OTR/L
• Diane Kae Jackson, A.P.R.N.
• Obadiah Luke Johnson, DPT
• Kearney Co Health Services (Minden Medical Clinic)
• Kearney Co Health Services (Minden Medical Clinic BCBS PCMH)

• Community/Retail Pharmacy in Minden, NE
• Providers in Minden, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.