Active NPI
Tooley Drug Company
- Durable Medical Equipment & Medical Supplies
- Columbus, NE
National Provider Identifier
1487763637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2550
- Legal business name
- TOOLEY DRUG COMPANY
- Doing business as
- TOOLEY CLINIC PHARMACY VITAL CARE
- Practice address
- 4306 38TH St
Columbus, NE 68601-1668 - Phone
- (402) 562-8627
- Fax
- (402) 562-8637
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Tooley
- Title
- Manager
- Phone
- (402) 562-8627
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2550 | NE | Primary |
| Customized Equipment (DME) | 332BC3200X | 2550 | NE | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 2550 | NE | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 2550 | NE | |
| Pharmacy | 333600000X | 2550 | NE | |
| Community/Retail Pharmacy | 3336C0003X | 2550 | NE | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 2550 | NE | |
| Long Term Care Pharmacy | 3336L0003X | 2550 | NE | |
| Mail Order Pharmacy | 3336M0002X | 2550 | NE | |
| Specialty Pharmacy | 3336S0011X | 2550 | NE |
Addresses
Primary practice location
4306 38TH St
Columbus, NE 68601-1668
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08997 | Other | NE | BCBS NPAR |
| NA1418 | Other | NE | LOCAL MEDICARE PART B |
| P00771846 | Other | MEDICARE RR |
Other names 1
- TOOLEY CLINIC PHARMACY VITAL CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040901000888 | NE | Part B Supplier - Pharmacy | 4486629458 | Practice locations: Columbus, NE |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Columbus, NE
- NPI 1861458085
4486629458
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338940800000",
"number": "1487763637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "800-447-4095",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4306 38TH ST",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686011668",
"telephone_number": "402-562-8627",
"fax_number": "402-562-8637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOOLEY DRUG COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2012-06-06",
"status": "A",
"authorized_official_last_name": "TOOLEY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "402-562-8627"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NE",
"license": "2550",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "NE",
"license": "2550",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NE",
"license": "2550",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NPAR",
"identifier": "08997",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCAL MEDICARE PART B",
"identifier": "NA1418",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00771846",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOOLEY CLINIC PHARMACY VITAL CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.