Organization Active NPI

Four Star Drug of Lincoln Nebraska Inc

Doing business as Four Star Drug

  • Community/Retail Pharmacy
  • Lincoln, NE
National Provider Identifier
1528131521
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1291 Issued in NE
Legal business name
FOUR STAR DRUG OF LINCOLN NEBRASKA INC
Doing business as
Four Star Drug
Practice address
1265 S Cotner Blvd
Lincoln, NE 68510-4923
Phone
(402) 434-7730
Fax
(402) 434-7738
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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 1291 NE Primary

Addresses

Primary practice location

1265 S Cotner Blvd
Lincoln, NE 68510-4923

Mailing address

1265 S Cotner Blvd
Lincoln, NE 68510-4923
Phone (402) 434-7730

Other names 1

  • Four Star Drug Doing business as

National Provider Directory

National Provider Directory

Locations

1265 S Cotner Blvd
Lincoln, NE 68510
Phone (402) 420-2222

1265 S Cotner Blvd
Ste 4
Lincoln, NE 68510
Phone (402) 434-7730

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1528131521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 S COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104923",
            "telephone_number": "402-434-7730",
            "fax_number": "402-434-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104923",
            "telephone_number": "402-434-7730",
            "fax_number": "402-434-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STAR DRUG OF LINCOLN NEBRASKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-09-30",
        "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": "1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Star Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.