MBC Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2030 Issued in NE

Legal business name

MBC PHARMACY INC

Doing business as

Charlie's U-Save Pharmacy

Practice address

2029 N Lincoln Ave
York, NE 68467-1025

Phone

(402) 362-4429

Fax

(402) 362-4980

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Leon Moore, R.PHNPI 1063435527

Title

President

Phone

(402) 362-4429

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Charlie's U-Save Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• Charles Leon Moore, R.PH

  • Pharmacist
  • York, NE
  • NPI 1063435527
  NPD Authorized official
• Connie Bolte, PHARMD

  • Pharmacist
  • York, NE
  • NPI 1073625364
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669493177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671025",
            "telephone_number": "402-362-4429",
            "fax_number": "402-362-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671025",
            "telephone_number": "402-362-4429",
            "fax_number": "402-362-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-362-4429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "2030",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2812419",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlie's U-Save Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abygayle Lowther
• Nancy Machado
• Christine Madron
• Paige Manley
• Shana Mayberry
• Thomas McKenny, CRNA
• Janie McKnight, CNA
• McMy PT Corp
• Kiley Meade
• Logan Meisinger, CRNA

• Community/Retail Pharmacy in York, NE
• Providers in York, 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 Aug 22, 2020; 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.