Organization Active NPI

Redlers LTC Pharmacy LLC

  • Long Term Care Pharmacy
  • Omaha, NE
National Provider Identifier
1770961112
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
3705 Issued in IA
Legal business name
REDLERS LTC PHARMACY LLC
Doing business as
Redlers LTC Pharmacy LLC
Practice address
13831 Chalco Valley Pkwy Ste 101
Omaha, NE 68138-6101
Phone
(402) 592-5244
Fax
(402) 763-6523
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Troy RedlerNPI 1003402868
Title
President
Phone
(712) 560-2219

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 3053 NE
Long Term Care Pharmacy 3336L0003X 3705 IA Primary

Addresses

Primary practice location

13831 Chalco Valley Pkwy Ste 101
Omaha, NE 68138-6101

Mailing address

13831 Chalco Valley Pkwy
Ste 101
Omaha, NE 68138-6101
Phone (402) 592-5244

Other identifiers 1

IdentifierTypeStateIssuer
2151877OtherPK

Other names 1

  • Redlers LTC Pharmacy LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150811003473 NE Part B Supplier - Mass Immunization (Roster Biller Only) 3375858020 Practice locations: Omaha, NE
O20150923001518 NE DME Supplier - Pharmacy 3375858020 Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Redlers LTC Pharmacy13831 Chalco Valley Pkwy, Omaha, NE 68138-6145(402) 592-5244 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer … Accepts assignmentParticipating since Sep 1, 2015

National Provider Directory

National Provider Directory

Locations

13831 Chalco Valley Pkwy
Omaha, NE 68138
Phone (402) 592-5244

Practitioners & affiliated clinicians

Practitioners 1

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": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1770961112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13831 CHALCO VALLEY PKWY",
            "address_2": "STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386101",
            "telephone_number": "402-592-5244",
            "fax_number": "402-763-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13831 CHALCO VALLEY PKWY STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386101",
            "telephone_number": "402-592-5244",
            "fax_number": "402-763-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLERS LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "REDLER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-560-2219"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "3053",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151877",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redlers LTC Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.