Bluesky Pharmacy LLC

Organization Active NPI Long Term Care Pharmacy · Gretna, NE

NPI 1376424978 · NPPES record last updated Jun 4, 2026

Key facts

NPI
1376424978
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
BLUESKY PHARMACY LLC
Practice address
10819 S 204TH Avenue Cir Ste 1
Gretna, NE 68028-4048
Phone
(531) 359-2205
Fax
(531) 600-7769
NPI assigned
Sep 10, 2025
Organization subpart
No

Authorized official

Name
Dr. Daniel Perina, PHARMD. NPI 1730232737
Title
Senior Director of Pharmacy
Phone
(402) 909-2447

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

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

SupplierSuppliesMedicare assignment
Bluesky Pharmacy LLC
10819 S 204TH Avenue Cir, Gretna, NE 68028-4048 · (531) 359-2205
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Jun 10, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260623003568 NE Part B Supplier - Pharmacy 5991278764 Practice locations: Gretna, NE

National Provider Directory

Part of
Integrated Life Choices

Locations

10819 S 204th Avenue Cir
Ste 1
Gretna, NE 68028
Phone (402) 359-2205

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

10819 S 204TH Avenue Cir Ste 1
Gretna, NE 68028-4048

Mailing address

10819 S 204TH Avenue Cir Ste 1
Gretna, NE 68028-4048
Phone (531) 359-2205

Other providers in Gretna, NE

All providers in Gretna, NE · Long Term Care Pharmacy in Nebraska

Sources for this page

Verify at the official NPI Registry.