Bemis Drug LLC
Organization Active NPI Community/Retail Pharmacy · Kimball, NE
NPI 1720004674 · NPPES record last updated Jun 28, 2018
Key facts
- NPI
- 1720004674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2871 (NE)
- Legal business name
- BEMIS DRUG LLC
- Practice address
- 129 S. Chestnut Street
Kimball, NE 69145 - Phone
- (308) 235-3936
- Fax
- (308) 235-4886
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Vickilee Knight Einhellig
- Title
- Managing Partner
- Phone
- (970) 461-1975
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190102002095 | NE | Part B Supplier - Pharmacy | 9234474768 | Practice locations: Kimball, NE |
National Provider Directory
- Tax ID family
- Bemis Drug
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2871 | NE | Yes |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2053273 | Other | PK |
Other names
- BEMIS DRUG
Other providers in Kimball, NE
- Tiffani L. Anderson
- Arrow Mobile Medical
- Jordan A Autrey
- Ashley Baxendale
- Ryan Michael Behrend
- Bemis Drug LLC
- Kristina Marie Biberos-Richards
- James Bissett
- Bluffs Vision Care, PC
- Teresa Lynn Broussard
All providers in Kimball, NE · Community/Retail Pharmacy in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.