Active NPI
Poniday LLC
- Community/Retail Pharmacy
- Cambridge, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2586
- Legal business name
- PONIDAY LLC
- Practice address
- 624 Patterson St
Cambridge, NE 69022 - Phone
- (308) 697-3400
- Fax
- (308) 697-3401
- NPI assigned
- Jul 5, 2006
- Last updated
- Dec 17, 2021
- 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
- Kim Ervin
- Title
- Office Manager
- Phone
- (308) 697-3400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2586 | NE | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
624 Patterson St
Cambridge, NE 69022
Mailing address
624 Patterson St
PO Box 117
Cambridge, NE 69022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2816253 | Other | OTHER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930032866 | NE | DME Supplier - Pharmacy | 8628001633 | Practice locations: Cambridge, NE |
| O20190204002373 | NE | Part B Supplier - Pharmacy | 8628001633 | Practice locations: Cambridge, NE |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mark's Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses:… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Poniday LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Cambridge, NE
- NPI 1982220232
-
- Pharmacist
- Cambridge, NE
- NPI 1659853331
-
- Pharmacist
- Cambridge, NE
- NPI 1790459881
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Cambridge, NE
- NPI 1871074187
-
- Pharmacist
- Cambridge, NE
- NPI 1649751876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1447280136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 PATTERSON ST",
"address_2": "PO BOX 117",
"city": "CAMBRIDGE",
"state": "NE",
"postal_code": "69022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 PATTERSON ST",
"city": "CAMBRIDGE",
"state": "NE",
"postal_code": "69022",
"telephone_number": "308-697-3400",
"fax_number": "308-697-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONIDAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2021-12-17",
"certification_date": "2021-09-22",
"status": "A",
"authorized_official_last_name": "ERVIN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "308-697-3400"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NE",
"license": "2586",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "2816253",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.