Organization Active NPI

Bemis Drug LLC

Doing business as Bemis Drug

  • Community/Retail Pharmacy
  • Kimball, NE
National Provider Identifier
1720004674
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2871 Issued in NE
Legal business name
BEMIS DRUG LLC
Doing business as
Bemis Drug
Practice address
129 S. Chestnut Street
Kimball, NE 69145
Phone
(308) 235-3936
Fax
(308) 235-4886
NPI assigned
Jul 14, 2006
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Vickilee Knight EinhelligNPI 1578650289
Title
Managing Partner
Phone
(970) 461-1975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 2871 NE Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

129 S. Chestnut Street
Kimball, NE 69145

Mailing address

3780 E 15TH Street
Suite 102
Loveland, CO 80538
Phone (970) 461-1975

Other identifiers 1

IdentifierTypeStateIssuer
2053273OtherPK

Other names 1

  • BEMIS DRUG Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190102002095 NE Part B Supplier - Pharmacy 9234474768 Practice locations: Kimball, NE

National Provider Directory

National Provider Directory
Tax ID family
Bemis Drug2 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.

Member of 1

Organizations this organization is a member of, according to 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1720004674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 E 15TH STREET",
            "address_2": "SUITE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-461-1975",
            "fax_number": "970-461-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S. CHESTNUT STREET",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "69145",
            "telephone_number": "308-235-3936",
            "fax_number": "308-235-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEMIS DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "EINHELLIG",
        "authorized_official_first_name": "VICKILEE",
        "authorized_official_middle_name": "KNIGHT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "970-461-1975"
    },
    "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": "2871",
            "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": "2053273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEMIS DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEMIS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kimball, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.