NPIMap

Organization Active NPI

Steffen Drug Inc

  • Community/Retail Pharmacy
  • Hartington, NE
National Provider Identifier
1679636856
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2402 Issued in NE
Legal business name
STEFFEN DRUG INC
Practice address
214 N Broadway Ave
Hartington, NE 68739-4619
Phone
(402) 254-3549
Fax
(402) 254-3545
NPI assigned
Dec 18, 2006
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dr. Matt D Steffen, PHARM. D.
Title
Owner Pharmacist
Phone
(402) 254-3549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2402 NE Primary

Addresses

Primary practice location

214 N Broadway Ave
Hartington, NE 68739-4619

Mailing address

214 N Broadway Ave
PO Box 248
Hartington, NE 68739-4619
Phone (402) 254-3549

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930044688 NE DME Supplier - Pharmacy 5698896041 Practice locations: Hartington, NE
O20111011000396 NE Part B Supplier - Mass Immunization (Roster Biller Only) 5698896041 1 other NPI on this enrollment
Practice locations: Creighton, NE; Hartington, NE

Other NPIs with the same Medicare PAC ID 2

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.

National Provider Directory

National Provider Directory
Tax ID family
Steffen Drug Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1679636856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N BROADWAY AVE",
            "address_2": "PO BOX 248",
            "city": "HARTINGTON",
            "state": "NE",
            "postal_code": "687394619",
            "telephone_number": "402-254-3549",
            "fax_number": "402-254-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N BROADWAY AVE",
            "city": "HARTINGTON",
            "state": "NE",
            "postal_code": "687394619",
            "telephone_number": "402-254-3549",
            "fax_number": "402-254-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFFEN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "402-254-3549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.