M Douglas Shaver
Organization Active NPI Community/Retail Pharmacy · Hemingford, NE
NPI 1720161748 · NPPES record last updated Jul 1, 2013
Key facts
- NPI
- 1720161748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1092 (NE)
- Legal business name
- M DOUGLAS SHAVER
- Practice address
- 508 Niobrara Ave
Hemingford, NE 69348-9703 - Phone
- (308) 487-5212
- Fax
- (308) 487-5235
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- M Douglas Shaver, RPH
- Title
- Owner
- Phone
- (308) 487-5212
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1092 | NE | Yes |
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
508 Niobrara Ave
Hemingford, NE 69348-9703
Mailing address
PO Box 185
Hemingford, NE 69348-0185
Phone (308) 487-5212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2052688 | Other | PK |
Other names
- SHAVERS PHARMACY
Other providers in Hemingford, NE
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- Niobrara Rehabilitation and Hand Therapy LLC
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- Megan N Paris
All providers in Hemingford, 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 Jul 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.