Active NPI
Bens Drug Store Inc
- Long Term Care Pharmacy
- Grand Island, NE
National Provider Identifier
1407069297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cody Lobeda, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025304200 | Medicaid | NE | |
| 2055891 | Other | PK |
Other names 1
- Midwest LTC Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Grand Island, NE
- NPI 1326638768
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.