NPIMap

Organization Active NPI

Gi Village Pharmacy

  • Long Term Care Pharmacy
  • Grand Island, NE
National Provider Identifier
1619350048
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
612 Issued in NE
Legal business name
GI VILLAGE PHARMACY
Doing business as
GI Village Pharmacy
Practice address
4075 Timberline St
Grand Island, NE 68803-6553
Phone
(308) 385-3535
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Matthew Schlachter
Title
Owner
Phone
(402) 463-2441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 612 NE Primary

Addresses

Primary practice location

4075 Timberline St
Grand Island, NE 68803-6553

Mailing address

300 S 1St Ave
Hastings, NE 68901-6464
Phone (402) 463-2441

Other identifiers 1

IdentifierTypeStateIssuer
2152765OtherPK

Other names 1

  • GI Village Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gi Village Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1619350048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 1ST AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016464",
            "telephone_number": "402-463-2441",
            "fax_number": "402-463-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 TIMBERLINE ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688036553",
            "telephone_number": "308-385-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "SCHLACHTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-463-2441"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.