Brehm Rexall Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1013 Issued in NE

Legal business name

BREHM REXALL DRUG INC

Practice address

608 Howard Ave
Saint Paul, NE 68873-2023

Phone

(308) 754-4611

Fax

(308) 754-5696

NPI assigned

May 31, 2006

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff John Platek

Title

President/Owner

Phone

(308) 754-4611

Specialties & licenses 3

Addresses

Other names 1

• Brehm's Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1417904632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HOWARD AVE",
            "address_2": "PO BOX 185",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732023",
            "telephone_number": "308-754-4611",
            "fax_number": "308-754-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HOWARD AVE",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732023",
            "telephone_number": "308-754-4611",
            "fax_number": "308-754-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREHM REXALL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "PLATEK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "308-754-4611"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "1013",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brehm's Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Brehm's Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara Bamesberger
• Krystal Kay Barg
• Krista C Bauder
• Benson Family Dentistry, LLC (Saint Paul Dental)
• Patricia Ann Berggren
• Angela Sue Brennan, MD
• City of Saint Paul (St Paul Rescue Service)
• Katherine Donahoo, LIMHP, LPC, PLADC
• Erica Eberle, PA-C
• Family Chiropractic Center of St. Paul, P.C.

• Community/Retail Pharmacy in Saint Paul, NE
• Providers in Saint Paul, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.