BP Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2047 Issued in NE

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

Jan 4, 2007

Last updated

Dec 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jed Lewis, PHARMD

Title

Vice President/Pharmacist-in-Charge

Phone

(402) 496-9757

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE MAN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• BLPS LLC

  dba Medicine Man Pharmacy

  • Community/Retail Pharmacy
  • North Bend, NE
  • NPI 1285044032

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1851448898",
    "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": "2007-01-04",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "VICE PRESIDENT/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "402-496-9757",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY STATE LICENSE NUMBER",
            "identifier": "2047",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE MAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICINE MAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tony Boynton
• Whitney Bozarth, PLMHP
• Orysya Bozhyk
• Bahar Bozorgzadeh, PLMHP
• BP Inc (Medicine Man Pharmacy)
• Danette D Brabec
• Rachel Marie Brabec, LIMHP, LMHP
• Abbigail Rendon Brabley
• Tamara Bracciano, OTR/L
• Robin Renee Brace, CPTA

• Community/Retail Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.