Nebraska Long Term Care, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NEBRASKA LONG TERM CARE, LLC

Doing business as

Nebraska Long Term Care

Practice address

910 Court St Ste D
Beatrice, NE 68310-4085

Phone

(402) 223-4779

Fax

(402) 223-0153

NPI assigned

Aug 10, 2006

Organization subpart

Yes

Parent organization

DEINES PHARMACY, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mitchell Eugene Deines, PHARMD, RPH

Title

President

Phone

(402) 223-4779

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Nebraska Long Term Care Doing business as

Part of

Deines Pharmacy Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Deines Pharmacy, LLC

  • Community/Retail Pharmacy
  • Beatrice, NE
  • NPI 1487654828
  NPPES parent name

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1881605566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COURT ST STE D",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683104085",
            "telephone_number": "402-223-4779",
            "fax_number": "402-223-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COURT ST STE D",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683104085",
            "telephone_number": "402-223-4779",
            "fax_number": "402-223-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA LONG TERM CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEINES PHARMACY, LLC",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "DEINES",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-223-4779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10088",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025162800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2816885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Jack Morrow, D.C.
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• Jeannine M Murphy
• Mary Naish
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• Krystal Neumann
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• Areli New

• Long Term Care Pharmacy in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Long Term Care Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.