Four Star Drug of Waverly
Organization Active NPI Community/Retail Pharmacy · Waverly, NE
NPI 1487727293 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1487727293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 278 (NE)
- Legal business name
- FOUR STAR DRUG OF WAVERLY
- Practice address
- 13851 Guildford St
Suite D
Waverly, NE 68462 - Phone
- (402) 786-2222
- Fax
- (402) 786-2502
- NPI assigned
- Nov 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- FOUR STAR DRUG OF BETHANY, INC
Authorized official
- Name
- Dr. Monty Lee Scheele, PHARM.D.
- Title
- Director of Pharmacy Operations
- Phone
- (402) 434-7701
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Four Star Drug of Waverly
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 278 | NE | Yes |
Addresses
Primary practice location
13851 Guildford St
Suite D
Waverly, NE 68462
Mailing address
13851 Guildford St
Suite D
Waverly, NE 68462
Phone (402) 786-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47607128202 | Medicaid | NE |
Other names
- Four Star Drug
Other providers in Waverly, NE
- Jawn Davidson
- Heather M Eller-Gilman
- Julia Ann Ernst
- Family Medicine and Urgent Care of Waverly, LLC
- Five Star Quality Care-NE LLC
- Jaden Gettys
- Megan Gildea
- Ester Olga Aleksandr Gorbun
- Ashley Gregory
- James Griffin
All providers in Waverly, NE · Community/Retail Pharmacy in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.