National LTC Pharmacy Services, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

150 Issued in NE

Legal business name

NATIONAL LTC PHARMACY SERVICES, INC.

Practice address

6891 A St Ste 105
Lincoln, NE 68510-4184

Phone

(402) 489-8676

Fax

(402) 489-0258

NPI assigned

Jul 14, 2006

Organization subpart

Yes

Parent organization

FSQ PHARMACY HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Steven Dean

Title

Executive Director

Phone

(402) 331-2661

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Five Star Quality Care2 organizations share this tax ID, including this one

Part of

FSQ Pharmacy Holding LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• National LTC Pharmacy Services

  • Pharmacy
  • Lincoln, NE
  • NPI 1518939735
  NPD tax ID

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1760408637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6891 A ST STE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104184",
            "telephone_number": "402-489-8676",
            "fax_number": "402-489-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6891 A ST STE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104184",
            "telephone_number": "402-489-8676",
            "fax_number": "402-489-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL LTC PHARMACY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FSQ PHARMACY HOLDINGS, LLC",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-331-2661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "150",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Long Term Care Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.