Organization Active NPI

Westholl Inc

  • Community/Retail Pharmacy
  • Wayne, NE
National Provider Identifier
1619929049
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2853 Issued in NE
Legal business name
WESTHOLL INC
Practice address
216 E 7TH St
Wayne, NE 68787-2213
Phone
(402) 375-2922
Fax
(402) 375-1552
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Mark PatefieldNPI 1407338817
Title
Owner
Phone
(402) 375-2922

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 2853 NE Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

216 E 7TH St
Wayne, NE 68787-2213

Mailing address

216 E 7TH St
Wayne, NE 68787-2213
Phone (402) 375-2922

Other identifiers 2

IdentifierTypeStateIssuer
10025785800MedicaidNE
2804513OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • U-Save Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061023000557 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4284631953 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gretna, NE
O20100930096200 NE DME Supplier - Pharmacy 2567653553 Practice locations: Wayne, NE
O20130110000582 NE Part B Supplier - Mass Immunization (Roster Biller Only) 2567653553 Practice locations: Wayne, NE

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
U-Save Pharmacy2 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

216 E 7th St
Wayne, NE 68787
Phone (402) 375-2922

216 E 7th St
#U
Wayne, NE 68787
Phone (402) 375-2922

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1619929049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E 7TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687872213",
            "telephone_number": "402-375-2922",
            "fax_number": "402-375-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 7TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687872213",
            "telephone_number": "402-375-2922",
            "fax_number": "402-375-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTHOLL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "PATEFIELD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-375-2922"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2853",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025785800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2804513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U-Save Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U-Save Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.

Verify at the official NPI Registry.