NPIMap

Organization Active NPI

Green River Associates Inc

Doing business as Chief Drug

  • Community/Retail Pharmacy
  • Tecumseh, NE
National Provider Identifier
1609942234
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2133 Issued in NE
Legal business name
GREEN RIVER ASSOCIATES INC
Doing business as
Chief Drug
Practice address
123 South 3Rd St
Tecumseh, NE 68450
Phone
(402) 335-3375
Fax
(402) 335-3376
NPI assigned
Nov 27, 2006
Last updated
Oct 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Colby Haynes
Title
Vice President
Phone
(402) 335-3375

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 2133 NE Primary

Addresses

Primary practice location

123 South 3Rd St
Tecumseh, NE 68450

Mailing address

123 N 3Rd St
Tecumseh, NE 68450-2491

Other identifiers 1

IdentifierTypeStateIssuer
2804400OtherOTHER ID NUMBER

Other names 1

  • CHIEF DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930065350 NE DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9234258583 Practice locations: Tecumseh, NE
O20200430001483 NE Part B Supplier - Mass Immunization (Roster Biller Only) 9234258583 1 other NPI on this enrollment
Practice locations: Tecumseh, NE; Auburn, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Green River Associates Inc123 S 3Rd St, Tecumseh, NE 68450-2456(402) 335-3375 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Chief Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2115 14th St
Ste 201
Auburn, NE 68305
Phone (402) 274-0220

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1609942234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N 3RD ST",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SOUTH 3RD ST",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "68450",
            "telephone_number": "402-335-3375",
            "fax_number": "402-335-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-335-3375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2804400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIEF DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHIEF DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.