Priefert Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2164 Issued in NE

Legal business name

PRIEFERT PHARMACY INC

Doing business as

Priefert Pharmacy

Practice address

428 Lincoln Ave
Hebron, NE 68370-1526

Phone

(402) 768-6319

Fax

(402) 768-6321

NPI assigned

Nov 3, 2006

Last updated

Dec 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Priefert, BS

Title

Pres

Phone

(402) 768-6319

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PRIEFERT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1629157284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LINCOLN AVE",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "683701526",
            "telephone_number": "402-768-6319",
            "fax_number": "402-768-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 LINCOLN AVE",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "683701526",
            "telephone_number": "402-768-6319",
            "fax_number": "402-768-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIEFERT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "PRIEFERT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "402-768-6319",
        "authorized_official_credential": "BS"
    },
    "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": "2164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIEFERT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica R Madsen, MS, RD
• Kristine Lee McCown
• Trev Mumm, BSPTA
• Oz-Some Possibilities Counseling
• Kallie Patterson
• Priefert Pharmacy Inc. (Priefert Pharmacy)
• Tina Louise Reed
• Kathryn Ann Retzlaff, LMNT
• Rhonda Kay Roberts-Jensen
• Isaac Robertson, PT, DPT

• Community/Retail Pharmacy in Hebron, NE
• Providers in Hebron, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.