NPIMap

Organization Active NPI

Father Flanagans Boys Home

Doing business as Boys Town Employee Pharmacy

  • Managed Care Organization Pharmacy
  • Boys Town, NE
National Provider Identifier
1578740502
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
2795 Issued in NE
Legal business name
FATHER FLANAGANS BOYS HOME
Doing business as
Boys Town Employee Pharmacy
Practice address
14080 Hospital Rd
Boys Town, NE 68010
Phone
(402) 778-6063
Fax
(402) 778-6062
NPI assigned
Jan 22, 2008
Last updated
Jun 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
David Songster, PHRMD
Title
Dir of Phcy
Phone
(402) 498-6355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Managed Care Organization Pharmacy 3336M0003X 2795 NE Primary

Addresses

Primary practice location

14080 Hospital Rd
Boys Town, NE 68010

Mailing address

14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6063

Other identifiers 1

IdentifierTypeStateIssuer
2055968OtherPK

Other names 1

  • BOYS TOWN EMPLOYEE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Byrne Thomas M MD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1578740502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14080 BOYS TOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107513",
            "telephone_number": "402-778-6063",
            "fax_number": "402-778-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14080 HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010",
            "telephone_number": "402-778-6063",
            "fax_number": "402-778-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER FLANAGANS BOYS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "SONGSTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIR OF PHCY",
        "authorized_official_telephone_number": "402-498-6355",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NE",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYS TOWN EMPLOYEE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boys Town, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.