Reimer Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3041 Issued in NE

Legal business name

REIMER PHARMACY LLC

Doing business as

Reimer Pharmacy

Practice address

312 Broadway St
Fullerton, NE 68638-3152

Phone

(308) 536-2641

Fax

(308) 536-2680

NPI assigned

Mar 8, 2007

Last updated

Jun 27, 2015By 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

Nikolas ReimerNPI 1104979160

Title

Owner

Phone

(308) 536-2641

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• REIMER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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.

• Nikolas L Reimer, RPH

  • Pharmacist
  • Columbus, NE
  • NPI 1104979160
  NPD Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1992836357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686380460",
            "telephone_number": "308-536-2641",
            "fax_number": "308-536-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BROADWAY ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383152",
            "telephone_number": "308-536-2641",
            "fax_number": "308-536-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIMER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "REIMER",
        "authorized_official_first_name": "NIKOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-536-2641"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "3041",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264488-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REIMER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fullerton, NE
• Providers in Fullerton, 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 Jun 27, 2015; 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.