Organization Active NPI

Blaha & Blaha Inc

Doing business as Anderson Pharmacy

  • Community/Retail Pharmacy
  • Ord, NE
National Provider Identifier
1386657575
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BLAHA & BLAHA INC
Doing business as
Anderson Pharmacy
Practice address
1429 M Street
Ord, NE 68862
Phone
(308) 728-5922
Fax
(308) 729-7892
NPI assigned
Aug 15, 2006
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Michael E Blaha, RP
Title
Pharmacist in Charge Owner
Phone
(308) 728-5922

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 181 NE
Pharmacist 183500000X 10 NE
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

1429 M Street
Ord, NE 68862

Mailing address

1429 M Street
Ord, NE 68862
Phone (308) 728-5922

Other names 1

  • Anderson Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000289 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4789896267 Practice locations: Ord, NE

National Provider Directory

National Provider Directory

Locations

1429 M St
Ord, NE 68862
Phone (308) 728-5922

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1386657575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 M STREET",
            "city": "ORD",
            "state": "NE",
            "postal_code": "68862",
            "telephone_number": "308-728-5922",
            "fax_number": "308-729-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 M STREET",
            "city": "ORD",
            "state": "NE",
            "postal_code": "68862",
            "telephone_number": "308-728-5922",
            "fax_number": "308-729-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAHA & BLAHA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "BLAHA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE OWNER",
        "authorized_official_telephone_number": "308-728-5922",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "181",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ord, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.