NPIMap

Organization Active NPI

Four Star Drug of Waverly

Doing business as Four Star Drug

  • Community/Retail Pharmacy
  • Waverly, NE
National Provider Identifier
1487727293
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
278 Issued in NE
Legal business name
FOUR STAR DRUG OF WAVERLY
Doing business as
Four Star Drug
Practice address
13851 Guildford St
Suite D
Waverly, NE 68462
Phone
(402) 786-2222
Fax
(402) 786-2502
NPI assigned
Nov 17, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR STAR DRUG OF BETHANY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Monty Lee Scheele, PHARM.D.
Title
Director of Pharmacy Operations
Phone
(402) 434-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 278 NE Primary

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 names 1

  • Four Star Drug Doing business as

National Provider Directory

National Provider Directory
Part of
Four Star Drug of Waverly

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1487727293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 GUILDFORD ST",
            "address_2": "SUITE D",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "68462",
            "telephone_number": "402-786-2222",
            "fax_number": "402-786-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 GUILDFORD ST",
            "address_2": "SUITE D",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "68462",
            "telephone_number": "402-786-2222",
            "fax_number": "402-786-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STAR DRUG OF WAVERLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR STAR DRUG OF BETHANY, INC",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SCHEELE",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "402-434-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Star Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.