Organization Active NPI

Good Life Health Services Inc

Doing business as Good Life Pharmacy

  • Pharmacy
  • Loup City, NE
National Provider Identifier
1912091091
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2344 Issued in NE
Legal business name
GOOD LIFE HEALTH SERVICES INC
Doing business as
Good Life Pharmacy
Practice address
727 O Street
Loup City, NE 68853
Phone
(308) 745-1614
Fax
(308) 745-1614
NPI assigned
Oct 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. James Frank Andreesen, RPNPI 1619579489
Title
Owner Pharmacist
Phone
(308) 745-1614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2344 NE Primary
Pharmacist 183500000X 8653 NE

Addresses

Primary practice location

727 O Street
Loup City, NE 68853

Mailing address

PO Box 508
Loup City, NE 68853
Phone (308) 745-1614

Other identifiers 1

IdentifierTypeStateIssuer
2815174OtherNCPDP

Other names 1

  • Good Life Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000963 NE Part B Supplier - Mass Immunization (Roster Biller Only) 8820036478 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ord, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

124 S 4th St
Albion, NE 68620
Phone (402) 395-3353

125 S 16th St
Ord, NE 68862
Phone (308) 728-3295

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912091091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "68853",
            "telephone_number": "308-745-1614",
            "fax_number": "308-745-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 O STREET",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "68853",
            "telephone_number": "308-745-1614",
            "fax_number": "308-745-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDREESEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "308-745-1614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2344",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "8653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2815174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loup City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.