Organization Active NPI

Bens Drug Store Inc

  • Long Term Care Pharmacy
  • Grand Island, NE
National Provider Identifier
1407069297
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BENS DRUG STORE INC
Doing business as
Midwest LTC Pharmacy
Practice address
2208 N Webb Rd Unit 3
Grand Island, NE 68803-1739
Phone
(308) 398-0538
Fax
(308) 398-0539
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Cody Lobeda, PHARMDNPI 1326638768
Title
Owner
Phone
(308) 398-0538

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 2817 NE
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2208 N Webb Rd Unit 3
Grand Island, NE 68803-1739

Mailing address

3003 Frontage Rd
Ste 2
Grand Island, NE 68803-5500
Phone (308) 398-0538

Other identifiers 2

IdentifierTypeStateIssuer
10025304200MedicaidNE
2055891OtherPK

Other names 1

  • Midwest LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3003 Frontage Rd
Ste 2
Grand Island, NE 68803

121 W 3rd St
Grand Island, NE 68801
Phone (308) 382-3131

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1407069297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 FRONTAGE RD",
            "address_2": "STE 2",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035500",
            "telephone_number": "308-398-0538",
            "fax_number": "308-398-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 N WEBB RD UNIT 3",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031739",
            "telephone_number": "308-398-0538",
            "fax_number": "308-398-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "LOBEDA",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-398-0538",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "2817",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025304200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.