NPIMap

Organization Active NPI

Clabaugh Pharmacy Inc

  • Community/Retail Pharmacy
  • Beatrice, NE
National Provider Identifier
1699879650
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2898 Issued in NE
Legal business name
CLABAUGH PHARMACY INC
Practice address
501 Court St
Beatrice, NE 68310-3923
Phone
(402) 223-3591
Fax
(402) 228-4842
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Nathan ClabaughNPI 1033709159
Title
Owner
Phone
(402) 223-3591

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2898 NE Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

501 Court St
Beatrice, NE 68310-3923

Mailing address

501 Court St
Beatrice, NE 68310-3923
Phone (402) 223-3591

Other identifiers 1

IdentifierTypeStateIssuer
2128370OtherPK

Other names 1

  • Clabaugh Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071127000388 NE Part B Supplier - Mass Immunization (Roster Biller Only) 9830287929 Practice locations: Beatrice, NE
O20100930008950 NE DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 9830287929 Practice locations: Beatrice, NE

National Provider Directory

National Provider Directory
Tax ID family
Clabaugh Pharmacy Inc2 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.

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1699879650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 COURT ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103923",
            "telephone_number": "402-223-3591",
            "fax_number": "402-228-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 COURT ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103923",
            "telephone_number": "402-223-3591",
            "fax_number": "402-228-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLABAUGH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "CLABAUGH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-223-3591"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2898",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clabaugh Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.