Patefield Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2666 Issued in NE

Legal business name

PATEFIELD ENTERPRISES INC

Doing business as

Main St Apothecary

Practice address

201 E 2ND St
Laurel, NE 68745-1989

Phone

(402) 256-3511

Fax

(402) 256-9230

NPI assigned

Jun 13, 2006

Last updated

Jan 5, 2010By 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

Mark PatefieldNPI 1407338817

Title

President

Phone

(402) 256-3511

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MAIN ST APOTHECARY Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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.

• Mark Patefield, RP

  • Pharmacist
  • Wayne, NE
  • NPI 1407338817
  NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1912949793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "LAUREL",
            "state": "NE",
            "postal_code": "687450515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "city": "LAUREL",
            "state": "NE",
            "postal_code": "687451989",
            "telephone_number": "402-256-3511",
            "fax_number": "402-256-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEFIELD ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "PATEFIELD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-256-3511"
    },
    "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": "2666",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2810845",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025317900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN ST APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hillcrest Care Center
• Laurel-Concord-Coleridge School District 54
• Lesley Holloway the Dentist LLC
• Mercy Medical Services (Laurel Mercy Medical Clinic)
• Erica Mogensen
• Ashley Promes
• Samuel J. Recob, M.D.
• Heather Schrieber
• Marjorie A Thompson, ADM. LPN. ADM. S.SER
• Sara Ann Trease

• Community/Retail Pharmacy in Laurel, NE
• Providers in Laurel, 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 Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.