NPIMap

Organization Active NPI

Hasselbalch Pharmacy Inc

  • Pharmacist
  • Tecumseh, NE
National Provider Identifier
1992889208
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2289 Issued in NE
Legal business name
HASSELBALCH PHARMACY INC
Practice address
143 South 3Rd
Tecumseh, NE 68450
Phone
(402) 335-3303
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Michael M Wendt, PHARMD.
Title
President
Phone
(402) 335-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 2289 NE Primary

Addresses

Primary practice location

143 South 3Rd
Tecumseh, NE 68450

Mailing address

143 South 3Rd
Tecumseh, NE 68450
Phone (402) 335-3303

Other identifiers 1

IdentifierTypeStateIssuer
10026061000MedicaidNE

Other names 1

  • Hasselbalch Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

143 S 3rd St
Tecumseh, NE 68450
Phone (402) 335-3303

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1992889208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SOUTH 3RD",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "68450",
            "telephone_number": "402-335-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SOUTH 3RD",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "68450",
            "telephone_number": "402-335-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSELBALCH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-335-3303",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026061000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hasselbalch Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.