Active NPI
Pender Care Centre District Inc
Doing business as West Point Apothecary
- Community/Retail Pharmacy
- West Point, NE
National Provider Identifier
1588129720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PENDER CARE CENTRE DISTRICT INC
- Doing business as
- West Point Apothecary
- Practice address
- 303 Plaza Dr
West Point, NE 68788-2611 - Phone
- (402) 372-1034
- Fax
- (402) 385-0155
- NPI assigned
- Feb 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura J Gamble
- Title
- Ceo
- Phone
- (402) 385-3083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
303 Plaza Dr
West Point, NE 68788-2611
Mailing address
PO Box 628
Pender, NE 68047-0628
Phone (402) 385-3350
Other names 1
- WEST POINT APOTHECARY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171107001634 | NE | Part B Supplier - Pharmacy | 9436068301 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Emerson, NE; Pender, NE; Wisner, NE |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba PCH Pharmacy - Pender
- Community/Retail Pharmacy
- Pender, NE
- NPI 1548688534
O20171107001634
-
dba Emerson Apothecary
- Community/Retail Pharmacy
- Emerson, NE
- NPI 1871066159
O20171107001634
-
dba PCH Pharmacy - Wisner
- Community/Retail Pharmacy
- Wisner, NE
- NPI 1871942896
O20171107001634
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1588129720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 628",
"city": "PENDER",
"state": "NE",
"postal_code": "680470628",
"telephone_number": "402-385-3350",
"fax_number": "402-385-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PLAZA DR",
"city": "WEST POINT",
"state": "NE",
"postal_code": "687882611",
"telephone_number": "402-372-1034",
"fax_number": "402-385-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENDER CARE CENTRE DISTRICT INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-01",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "GAMBLE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "402-385-3083"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WEST POINT APOTHECARY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WEST POINT APOTHECARY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Point, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.