NPIMap

Organization Active NPI

3D RX, Inc

  • Community/Retail Pharmacy
  • Gordon, NE
National Provider Identifier
1760193809
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
3D RX, INC
Practice address
116 N Main St
Gordon, NE 69343-1524
Phone
(308) 282-1114
Fax
(308) 282-2250
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Helen Jacqueline Ianniello, RNNPI 1447054044
Title
Owner
Phone
(308) 282-1114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

116 N Main St
Gordon, NE 69343-1524

Mailing address

116 N Main St
Gordon, NE 69343-1524
Phone (308) 282-1114

Other names 1

  • Stockmen's Drug Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925002514 NE Part B Supplier - Pharmacy 1355795345 Practice locations: Gordon, NE

National Provider Directory

National Provider Directory
Tax ID family
3D RX Inc2 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.

Locations

116 N Main St
Gordon, NE 69343
Phone (308) 282-1114

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1760193809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431524",
            "telephone_number": "308-282-1114",
            "fax_number": "308-282-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431524",
            "telephone_number": "308-282-1114",
            "fax_number": "308-282-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D RX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "IANNIELLO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-282-1114",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockmen's Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gordon, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.