NPIMap

Organization Active NPI

B&R Stores Inc

  • Community/Retail Pharmacy
  • Lincoln, NE
National Provider Identifier
1487165452
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
709 Issued in NE
Legal business name
B&R STORES INC
Practice address
5460 S 56TH St
Lincoln, NE 68516-1879
Phone
(402) 423-0870
Fax
(402) 423-0873
NPI assigned
Oct 18, 2017
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Anthony Schmid, RPH
Title
Pharmacy Director/Ao/Pic
Phone
(402) 464-6297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 709 NE Primary

Addresses

Primary practice location

5460 S 56TH St
Lincoln, NE 68516-1879

Mailing address

4554 W St
Lincoln, NE 68503-2831
Phone (402) 464-6297

Other identifiers 1

IdentifierTypeStateIssuer
2172487OtherPK

Other names 1

  • Super Saver Pharmacy #11 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000480 NE Part B Supplier - Mass Immunization (Roster Biller Only) 0143349159 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grand Island, NE; Columbus, NE; Lincoln, NE; Kearney, NE; Hastings, NE

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
B R Stores Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5460 S 56th St
Lincoln, NE 68516
Phone (402) 423-0870

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1487165452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 W ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685032831",
            "telephone_number": "402-464-6297",
            "fax_number": "402-434-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 S 56TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161879",
            "telephone_number": "402-423-0870",
            "fax_number": "402-423-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&R STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR/AO/PIC",
        "authorized_official_telephone_number": "402-464-6297",
        "authorized_official_credential": "RPH"
    },
    "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": "709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2172487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Saver Pharmacy #11",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.