Organization Active NPI

Usprx Inc

Doing business as U Save Pharmacy Ogallala

  • Pharmacy
  • Ogallala, NE
National Provider Identifier
1417048083
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2973 Issued in NE
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100262933-00MedicaidNE
2140301OtherPK

Other names 1

  • U SAVE PHARMACY OGALLALA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc5 organizations share this tax ID, including this one

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

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.

Verify at the official NPI Registry.