Deines Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DEINES PHARMACY, LLC

Doing business as

Deines Pharmacy

Practice address

910 Court St Ste C
Beatrice, NE 68310-4085

Phone

(402) 223-4779

Fax

(402) 223-5610

NPI assigned

Jul 28, 2005

Last updated

Dec 7, 2023By 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

Brian Daniel

Title

Evp Medical Operations

Phone

(402) 301-1307

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Deines Pharmacy Doing business as
• Deines Pharmacy, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nebraska Long Term Care, LLC

  dba Nebraska Long Term Care

  • Long Term Care Pharmacy
  • Beatrice, NE
  • NPI 1881605566
  NPPES parent name

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1487654828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063219",
            "telephone_number": "402-315-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COURT ST STE C",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683104085",
            "telephone_number": "402-223-4779",
            "fax_number": "402-223-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEINES PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EVP MEDICAL OPERATIONS",
        "authorized_official_telephone_number": "402-301-1307"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026077200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2813928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deines Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deines Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deines Pharmacy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kari Daniels, MA CCC-SLP/L
• Alexis Leann Davison
• Jonathan C Day, MSSW LMHP LCSW
• Meredith Ann Decker, PHD, LP
• Deines Pharmacy Beatrice LLC
• Mitchell E. Deines, RP
• Jessica Marie Denton
• Rebekah I Denton
• Lindsay Detert
• Vickie Detter

• Community/Retail Pharmacy in Beatrice, NE
• Providers in Beatrice, 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 Dec 7, 2023; 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.