Active NPI
Redlers Professional Pharmacy Inc
- Community/Retail Pharmacy
- S Sioux City, NE
National Provider Identifier
1790885770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1408
- Legal business name
- REDLERS PROFESSIONAL PHARMACY INC
- Doing business as
- REDLERS PROFESSIONAL PHARMACY
- Practice address
- 1010 W 29TH St
Ste 208
S Sioux City, NE 68776 - Phone
- (402) 494-5542
- Fax
- (402) 494-2207
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lowell Redler, RPH
- Title
- President
- Phone
- (402) 494-5542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 1408 | NE | Primary |
Addresses
Primary practice location
1010 W 29TH St
Ste 208
S Sioux City, NE 68776
Mailing address
1010 W 29TH St
Ste 208
S Sioux City, NE 68776
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2804741 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2804741 | Other | OTHER ID NUMBER | |
| 0970814 | Medicaid | IA |
Other names 1
- REDLERS PROFESSIONAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Redlers LTC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- South Sioux City, NE
- NPI 1316049752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252972800000",
"number": "1790885770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W 29TH ST",
"address_2": "STE 208",
"city": "S SIOUX CITY",
"state": "NE",
"postal_code": "68776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W 29TH ST",
"address_2": "STE 208",
"city": "S SIOUX CITY",
"state": "NE",
"postal_code": "68776",
"telephone_number": "402-494-5542",
"fax_number": "402-494-2207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDLERS PROFESSIONAL PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2009-09-15",
"status": "A",
"authorized_official_last_name": "REDLER",
"authorized_official_first_name": "LOWELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-494-5542",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NE",
"license": "1408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2804741",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "2804741",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0970814",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REDLERS PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in S Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.