Organization Active NPI

Cherry County Drug

  • Pharmacy
  • Valentine, NE
National Provider Identifier
1497811830
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1901 Issued in NE
Legal business name
CHERRY COUNTY DRUG
Practice address
316 N Main
Valentine, NE 69201
Phone
(402) 376-1961
Fax
(402) 376-1961
NPI assigned
Dec 29, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Larry Lee Miller, RP
Title
Owner
Phone
(402) 376-1961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1901 NE Primary

Addresses

Primary practice location

316 N Main
Valentine, NE 69201

Mailing address

316 N Main
Valentine, NE 69201
Phone (402) 376-1961

Other identifiers 1

IdentifierTypeStateIssuer
2804690OtherNABP

National Provider Directory

National Provider Directory

Locations

316 N Main St
Valentine, NE 69201
Phone (402) 376-1961

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1497811830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N MAIN",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "69201",
            "telephone_number": "402-376-1961",
            "fax_number": "402-376-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MAIN",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "69201",
            "telephone_number": "402-376-1961",
            "fax_number": "402-376-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY COUNTY DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-376-1961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2804690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valentine, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.