Active NPI
Usprx Inc
Doing business as U Save Pharmacy Ogallala
- Pharmacy
- Ogallala, NE
National Provider Identifier
1417048083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2973
- Legal business name
- USPRX INC
- Doing business as
- U Save Pharmacy Ogallala
- Practice address
- 23 N Spruce St
Ogallala, NE 69153-2548 - Phone
- (308) 284-2242
- Fax
- (308) 284-8964
- NPI assigned
- Sep 27, 2006
- Last updated
- Feb 13, 2014
- 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
- Shelby Thieszen
- Title
- Secretary
- Phone
- (308) 398-1964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2973 | NE | Primary |
Addresses
Primary practice location
23 N Spruce St
Ogallala, NE 69153-2548
Mailing address
23 N Spruce St
Ogallala, NE 69153-2548
Phone (308) 284-2242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100262933-00 | Medicaid | NE | |
| 2140301 | Other | PK |
Other names 1
- U SAVE PHARMACY OGALLALA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130718000453 | NE | DME Supplier - Pharmacy | 7911148838 | Practice locations: Ogallala, NE |
| O20131011001693 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911148838 |
1 other NPI on this enrollment Practice locations: North Platte, NE; Ogallala, NE |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Usprx Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1417048083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 N SPRUCE ST",
"city": "OGALLALA",
"state": "NE",
"postal_code": "691532548",
"telephone_number": "308-284-2242",
"fax_number": "308-284-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 N SPRUCE ST",
"city": "OGALLALA",
"state": "NE",
"postal_code": "691532548",
"telephone_number": "308-284-2242",
"fax_number": "308-284-8964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USPRX INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "THIESZEN",
"authorized_official_first_name": "SHELBY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "308-398-1964"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NE",
"license": "2973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100262933-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140301",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "U SAVE PHARMACY OGALLALA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ogallala, NE
- Nicole L Tjaden
- Julia Bernadine Trevino-Emerson, MD
- Jessica Trevino
- U Save Pharmacy Inc (U Save Pharmacy)
- Usprx Inc (U-Save Ogallala LTC)
- Vitality Chiro PC (Vitality Chiropractic Lifestyle Center)
- Walmart Inc. (WalMart Pharmacy 10-7129)
- Kate Lynne Walz
- Sara Yasmine Waychoff, BCBA
- Justin Scott Weber, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.