Organization Active NPI

Harris Apothecaries LLC

  • Community/Retail Pharmacy
  • Franklin, NE
National Provider Identifier
1790276103
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HARRIS APOTHECARIES LLC
Practice address
635 15TH Ave
Franklin, NE 68939-1509
Phone
(308) 425-3004
Fax
(308) 425-3005
NPI assigned
May 21, 2018
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Heather Harris Ockinga
Title
Owner
Phone
(308) 289-3441

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

635 15TH Ave
Franklin, NE 68939-1509

Mailing address

317 N Webster St
Red Cloud, NE 68970-2549
Phone (402) 746-3335

Other identifiers 2

IdentifierTypeStateIssuer
2177963OtherPK
10026480901MedicaidNE

Other names 1

  • Franklin Drug Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200626000079 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4284943069 Practice locations: Franklin, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2230582Franklin Drug635 15TH Ave, Franklin, NE 68939Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Harris Apothecaries LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

317 N Webster St
Red Cloud, NE 68970
Phone (402) 746-3335

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": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1790276103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N WEBSTER ST",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702549",
            "telephone_number": "402-746-3335",
            "fax_number": "402-746-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 15TH AVE",
            "city": "FRANKLIN",
            "state": "NE",
            "postal_code": "689391509",
            "telephone_number": "308-425-3004",
            "fax_number": "308-425-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS APOTHECARIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS OCKINGA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-289-3441"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177963",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026480901",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin Drug",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Franklin Drug",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Franklin, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.