NPIMap

Organization Active NPI

Annie Jeffrey Memorial County Health

Doing business as Annie Jeffrey Mem Cnty HSP Phy

  • Institutional Pharmacy
  • Osceola, NE
National Provider Identifier
1710023288
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
640001 Issued in NE
Legal business name
ANNIE JEFFREY MEMORIAL COUNTY HEALTH
Doing business as
Annie Jeffrey Mem Cnty HSP Phy
Practice address
531 Beebe St
Osceola, NE 68651-5537
Phone
(402) 747-2031
Fax
(402) 747-1405
NPI assigned
Jan 30, 2007
Last updated
May 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Reginald Hain, R P
Title
Consultant Pharmacist
Phone
(308) 940-2592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 640001 NE Primary

Addresses

Primary practice location

531 Beebe St
Osceola, NE 68651-5537

Mailing address

531 Beebe St
Osceola, NE 68651-5537
Phone (402) 747-2031

Other identifiers 1

IdentifierTypeStateIssuer
2811354OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ANNIE JEFFREY MEM CNTY HSP PHY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Annie Jeffery Mem Co HL3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1710023288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 BEEBE ST",
            "city": "OSCEOLA",
            "state": "NE",
            "postal_code": "686515537",
            "telephone_number": "402-747-2031",
            "fax_number": "402-747-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 BEEBE ST",
            "city": "OSCEOLA",
            "state": "NE",
            "postal_code": "686515537",
            "telephone_number": "402-747-2031",
            "fax_number": "402-747-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE JEFFREY MEMORIAL COUNTY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "HAIN",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "CONSULTANT PHARMACIST",
        "authorized_official_telephone_number": "308-940-2592",
        "authorized_official_credential": "R P"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NE",
            "license": "640001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2811354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANNIE JEFFREY MEM CNTY HSP PHY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.