NPIMap

Organization Active NPI

MCM Pharmacy Inc

  • Community/Retail Pharmacy
  • Grand Island, NE
National Provider Identifier
1992897052
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2910 Issued in NE
Legal business name
MCM PHARMACY INC
Practice address
3224 W 13TH St
Grand Island, NE 68803-2445
Phone
(308) 384-9010
Fax
(308) 384-9096
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Mark Miller, BS
Title
Owner/Phcy Manager
Phone
(308) 384-9010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2910 NE Primary

Addresses

Primary practice location

3224 W 13TH St
Grand Island, NE 68803-2445

Mailing address

3224 W 13TH St
Grand Island, NE 68803-2445
Phone (308) 384-9010

Other identifiers 2

IdentifierTypeStateIssuer
2131342OtherPK
10026068000MedicaidNE

Other names 1

  • U-Save Pharmacy NW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061023000557 NE Part B Supplier - Mass Immunization (Roster Biller Only) 4284631953 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gretna, NE
O20111004000771 NE DME Supplier - Pharmacy 8426229543 Practice locations: Grand Island, NE

Other NPIs on the same Medicare enrollment 9

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
U-Save Pharmacy NW3224 W 13TH St, Grand Island, NE 68803-2445(308) 384-9010 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Aug 1, 2011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1992897052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 W 13TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032445",
            "telephone_number": "308-384-9010",
            "fax_number": "308-384-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 W 13TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032445",
            "telephone_number": "308-384-9010",
            "fax_number": "308-384-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PHCY MANAGER",
        "authorized_official_telephone_number": "308-384-9010",
        "authorized_official_credential": "BS"
    },
    "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": "2910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131342",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026068000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U-Save Pharmacy NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.