Syracuse Town & Country Pharmacy, Inc

Key facts

NPI

1568095115

Entity type

Organization (NPI type 2)

Primary specialty

Long Term Care Pharmacy 3336L0003X

Legal business name

SYRACUSE TOWN & COUNTRY PHARMACY, INC

Practice address

1710 Poplar
Syracuse, NE 68446-6844

Phone

(402) 269-2001

Fax

(402) 269-2828

NPI assigned

Feb 21, 2020

Organization subpart

No

Authorized official

Name

Ronda Renee Stinson NPI 1629081344

Title

Pharmacist in Charge

Phone

(402) 269-3847

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

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

• Syracuse Town & Country Pharmacy Community/Retail Pharmacy · Syracuse, NE · NPI 1285695478
  NPD tax ID

Practitioners 1

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

• Ronda Renee Stinson, R.P. Pharmacist · Syracuse, NE · NPI 1629081344
  NPD Authorized official

National Provider Directory

Tax ID family

Syracuse Town Country Pharmacy Inc (2 organizations share this tax ID)

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2024.

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1568095115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460220",
            "telephone_number": "402-269-2001",
            "fax_number": "402-269-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 POPLAR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684466844",
            "telephone_number": "402-269-2001",
            "fax_number": "402-269-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE TOWN & COUNTRY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "402-269-3847"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Syracuse, NE · Long Term Care Pharmacy in Nebraska