Organization Active NPI

Fifty Med NE, LLC

  • Durable Medical Equipment & Medical Supplies
  • Gretna, NE
National Provider Identifier
1922967322
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FIFTY MED NE, LLC
Practice address
20164 Husker Dr Ste 1
Gretna, NE 68028-8085
Phone
(402) 318-7454
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mr. Tyrin Malik Ferguson
Title
Founder
Phone
(402) 318-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

20164 Husker Dr Ste 1
Gretna, NE 68028-8085

Mailing address

20164 Husker Dr Ste 1
Gretna, NE 68028-8085
Phone (402) 318-7454

National Provider Directory

National Provider Directory

Locations

20164 Husker Dr
Ste 1
Gretna, NE 68028
Phone (402) 318-7454

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1922967322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20164 HUSKER DR STE 1",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680288085",
            "telephone_number": "402-318-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20164 HUSKER DR STE 1",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680288085",
            "telephone_number": "402-318-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTY MED NE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TYRIN",
        "authorized_official_middle_name": "MALIK",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "402-318-7454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.