Ame

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2922 Issued in NE

Legal business name

AME

Practice address

311 Main St
Oshkosh, NE 69154-6112

Phone

(308) 772-3333

Fax

(308) 772-0126

NPI assigned

Jun 23, 2005

Organization subpart

No

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

Authorized official

Name

Joan Kicken

Title

Pic

Phone

(402) 525-1539

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CAMPBELL DRUG Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren J Tophoj, RPH

  • Pharmacist
  • Oshkosh, NE
  • NPI 1295779593
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1528064540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "OSHKOSH",
            "state": "NE",
            "postal_code": "691546112",
            "telephone_number": "308-772-3333",
            "fax_number": "308-772-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "OSHKOSH",
            "state": "NE",
            "postal_code": "691546112",
            "telephone_number": "308-772-3333",
            "fax_number": "308-772-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "KICKEN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "402-525-1539"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39198427300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMPBELL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyanne Ray Albertson
• Banner Health Physicians West LLC
• Milisa Raine Barnes, DC
• Callie Caraway
• Patricia Caslin
• Stacey Jo Chudomelka, PTA

• All providers in Oshkosh, NE
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.