NPIMap

Organization Active NPI

Gi Pharmacy Inc

Doing business as U Save Pharamcy 4TH St

  • Community/Retail Pharmacy
  • Grand Island, NE
National Provider Identifier
1780994566
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2892 Issued in NE
Legal business name
GI PHARMACY INC
Doing business as
U Save Pharamcy 4TH St
U Save Pharmacy 4TH Street
Practice address
423 W 4TH St
Grand Island, NE 68801-4503
Phone
(308) 384-7372
Fax
(308) 384-6067
NPI assigned
Oct 14, 2010
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Mr. Jose Guerrero, PHARMD.NPI 1699341933
Title
Manager
Phone
(308) 384-7372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 2892 NE Primary

Addresses

Primary practice location

423 W 4TH St
Grand Island, NE 68801-4503

Mailing address

423 W 4TH St
Grand Island, NE 68801-4503
Phone (308) 384-7372

Other identifiers 2

IdentifierTypeStateIssuer
10025901800MedicaidNE
2126756OtherPK

Other names 2

  • U SAVE PHARAMCY 4TH ST Doing business as
  • U SAVE PHARMACY 4TH STREET Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061023000557 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4284631953 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gretna, NE

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1780994566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W 4TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014503",
            "telephone_number": "308-384-7372",
            "fax_number": "308-384-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W 4TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014503",
            "telephone_number": "308-384-7372",
            "fax_number": "308-384-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "308-384-7372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025901800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U SAVE PHARAMCY 4TH ST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U SAVE PHARMACY 4TH STREET",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U SAVE PHARMACY 4TH STREET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.