Daileys Clinic Phcy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2196 Issued in NE

Legal business name

DAILEYS CLINIC PHCY INC

Doing business as

Coleman Clinic Pharmacy

Practice address

735 W 10TH St
Wahoo, NE 68066-1100

Phone

(402) 443-3979

Fax

(402) 443-5527

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Lorenz, RPH

Title

Owner and Pic

Phone

(402) 443-3979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COLEMAN CLINIC PHARMACY Doing business as

Tax ID family

Coleman Clinic Pharmacy2 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.

• Daileys Clinic Pharmacy Inc

  • Community/Retail Pharmacy
  • Wahoo, NE
  • NPI 1164576518
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730225343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W 10TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W 10TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661100",
            "telephone_number": "402-443-3979",
            "fax_number": "402-443-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILEYS CLINIC PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "402-443-3979",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2814398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLEMAN CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CRMT Inc (Hospice and Home Healthcare of Saunders County)
• CRMT Inc (Hospice and Home Healthcare of Saunders County)
• CRMT Inc. (Home Medical Supplies of Saunders County)
• Cameron Curtis
• Daileys Clinic Pharmacy Inc
• Claudia Jan Davis, LMHP CPC
• Matthew Donald Dover, PTA
• Amy Dunlap
• Hannah Nicole Ehresman
• Angela Jean Evans, PT

• Community/Retail Pharmacy in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.