TGSC Ventures, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3117 Issued in NE

Legal business name

TGSC VENTURES, LLC

Doing business as

Frontier Family Pharmacy

Practice address

312 W 8TH St
Cozad, NE 69130-1772

Phone

(308) 784-3500

Fax

(308) 784-3502

NPI assigned

Nov 2, 2015

Last updated

Aug 5, 2024By 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

Tyler Sturgeon, RPH

Title

Co-Owner, Pic, Ao

Phone

(308) 529-1224

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Frontier Family Pharmacy Doing business as

Tax ID family

Frontier Family 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.

• TGSC Ventures, LLC

  dba Frontier Family Pharmacy

  • Community/Retail Pharmacy
  • Broken Bow, NE
  • NPI 1003456005
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Barbara Gibbens, PHARM D

  • Pharmacist
  • Broken Bow, NE
  • NPI 1740868967
  NPD

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1689047458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 8TH ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301772",
            "telephone_number": "308-784-3500",
            "fax_number": "308-784-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 8TH ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301772",
            "telephone_number": "308-784-3500",
            "fax_number": "308-784-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGSC VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "STURGEON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CO-OWNER, PIC, AO",
        "authorized_official_telephone_number": "308-529-1224",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155122",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026649600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lois Stapleman, DDS
• Deanna Starr
• Kellie Stutterheim
• Larry Swanson
• Miriam Ofelia Tercero-Pascual
• Debra Timm
• Genesis Torres
• Leslie Lisbel Trevino
• Chelsea Uhrich
• Unbridled Healing LLC

• Community/Retail Pharmacy in Cozad, NE
• Providers in Cozad, 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 5, 2024; 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.