NPIMap

Organization Active NPI

Faith Regional Health Services

Doing business as The Pill Box

  • Community/Retail Pharmacy
  • Norfolk, NE
National Provider Identifier
1699891465
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2553 Issued in NE
Legal business name
FAITH REGIONAL HEALTH SERVICES
Doing business as
The Pill Box
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 844-8299
Fax
(402) 644-7267
NPI assigned
Mar 22, 2007
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FAITH REGIONAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Kelly A Driscoll
Title
President/Ceo
Phone
(402) 371-4880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 2553 NE Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

PO Box 869
Norfolk, NE 68702-0869
Phone (402) 644-7249

Other names 1

  • The Pill Box Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140630000383 NE DME Supplier - Pharmacy 8921902966 Practice locations: Norfolk, NE

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Our Lady of Lourdes Hos6 organizations share this tax ID, including this one
Part of
Our Lady of Lourdes Hos

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 N 29th St
Ste 202
Norfolk, NE 68701
Phone (402) 644-7560

1500 Koenigstein Ave
Ste 300
Norfolk, NE 68701

2701 W Norfolk Ave
Ste 201
Norfolk, NE 68701
Phone (402) 844-8073

2701 W Norfolk Ave
Ste 302
Norfolk, NE 68701
Phone (402) 644-7121

301 N 27th St
Ste 13
Norfolk, NE 68701
Phone (402) 644-7540

988440 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-4496

201 N Sunset St
Rm 109
Pierce, NE 68767
Phone (402) 644-7396

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Niobrara Valley HospitalLynch, NE, CCN 281303 Hospital Operational/Managerial Control Apr 1, 2011
Niobrara Valley HospitalLynch, NE, CCN 28Z303 Hospital Operational/Managerial Control Apr 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1699891465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 869",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687020869",
            "telephone_number": "402-644-7249",
            "fax_number": "402-644-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-844-8299",
            "fax_number": "402-644-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH REGIONAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH REGIONAL HEALTH SERVICES",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-371-4880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2553",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pill Box",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pill Box",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.