Organization Active NPI

BP Inc

Doing business as Medicine Man Pharmacy

  • Long Term Care Pharmacy
  • Omaha, NE
National Provider Identifier
1811670409
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BP INC
Doing business as
Medicine Man Pharmacy
Practice address
15615 Pacific St Ste 8
Omaha, NE 68118-2118
Phone
(402) 496-9757
Fax
(402) 496-9788
NPI assigned
Aug 9, 2023
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Jed Lewis
Title
Vice President
Phone
(402) 496-9757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

15615 Pacific St Ste 8
Omaha, NE 68118-2118

Mailing address

15615 Pacific St Ste 8
Omaha, NE 68118-2118
Phone (402) 496-9757

Other names 1

  • Medicine Man Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1811670409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 PACIFIC ST STE 8",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182118",
            "telephone_number": "402-496-9757",
            "fax_number": "402-496-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 PACIFIC ST STE 8",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182118",
            "telephone_number": "402-496-9757",
            "fax_number": "402-496-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-496-9757"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Man Pharmacy",
            "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 Aug 9, 2023; 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.