Gretna Drug

Primary specialty

PharmacyTaxonomy code 333600000X

License

2604 Issued in NE

Legal business name

GRETNA DRUG

Practice address

820 Village SQ
Gretna, NE 68028-7914

Phone

(402) 332-5990

Fax

(402) 332-0266

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchel Scott Wendlandt, PHARM D.

Title

Owner Pharmacist

Phone

(402) 332-5990

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1457435711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287914",
            "telephone_number": "402-332-5990",
            "fax_number": "402-332-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287914",
            "telephone_number": "402-332-5990",
            "fax_number": "402-332-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETNA DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "WENDLANDT",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "402-332-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "2816710",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025112900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Gottberg
• Bridget Carosello Gregory, RN, BSN
• Jessica Gregory
• Natalie Gregory
• Gretna Chiropractic P.C.
• Gretna Eye Care, P.C.
• Gretna Family Counseling, LLC
• Gretna Family Health PC
• Gretna Opco LLC
• Gretna Physical Therapy, PC

• Pharmacy in Gretna, NE
• Providers in Gretna, NE by specialty
• Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.