Daniel Kreis
Individual provider Active NPI Pharmacist · Gothenburg, NE
NPI 1881215366 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1881215366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11492 (NE)
- Practice address
- 902 Avenue D
Gothenburg, NE 69138-1900 - Phone
- (308) 537-7155
- Fax
- (308) 537-7366
- NPI assigned
- May 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11492 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gothenburg Discount Pharmacy Inc. | Current |
Accepting new patients | |
| Curtis Discount Pharmacy Inc | Current |
Accepting new patients |
Locations
902 Avenue D
Gothenburg, NE 69138
Phone (308) 537-7155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11492 | NE | Yes |
Addresses
Primary practice location
902 Avenue D
Gothenburg, NE 69138-1900
Mailing address
PO Box 159
Gothenburg, NE 69138-0159
Phone (308) 537-7155
Other providers in Gothenburg, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.