NPIMap

Organization Active NPI

Louderback Drug of Madison Inc

Doing business as Louderback Drug

  • Community/Retail Pharmacy
  • Madison, NE
National Provider Identifier
1497869465
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2671 Issued in NE
Legal business name
LOUDERBACK DRUG OF MADISON INC
Doing business as
Louderback Drug
Practice address
201 S Main St
Madison, NE 68748-6485
Phone
(402) 454-2525
Fax
(402) 454-2945
NPI assigned
Aug 18, 2006
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Brett Louderback, PHARM DNPI 1346384187
Title
President
Phone
(402) 454-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2671 NE Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

201 S Main St
Madison, NE 68748-6485

Mailing address

201 S Main St
PO Box 389
Madison, NE 68748-6485

Other identifiers 2

IdentifierTypeStateIssuer
2055498OtherPK
4708556900MedicaidNE

Other names 1

  • LOUDERBACK DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louderback Drug of Madison Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1497869465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "address_2": "PO BOX 389",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486485",
            "telephone_number": "402-454-2525",
            "fax_number": "402-454-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDERBACK DRUG OF MADISON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "LOUDERBACK",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-454-2525",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2671",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055498",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4708556900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUDERBACK DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOUDERBACK DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.