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YOUR HOMETOWN PHARMACY INC NPI 1548568769


NPI Information

NPI: 1548568769
Provider Name: YOUR HOMETOWN PHARMACY INC

Doing Business As: RELYCARE LTC BELLEVUE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
7428 EASTPORT PKWY STE 101
LA VISTA, NE
ZIP 68128
Phone: (402) 991-7283
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YOUR HOMETOWN PHARMACY INC is a long term care pharmacy pharmacy in La Vista, NE. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. YOUR HOMETOWN PHARMACY INC NPI is 1548568769. The provider is registered as an organization entity type.
The provider Is Doing Business As Relycare Ltc Bellevue.

The provider's business location address is:

7428 EASTPORT PKWY STE 101
LA VISTA, NE
ZIP 68128-348
Phone: (402) 991-7283
Fax: (402) 991-7281

The provider's authorized official is Stevan Osenbaugh .
The authorized official title is President and has the following contact phone number (402) 466-7283.

The enumeration date for this NPI number is 3/11/2011 and was last updated on 3/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy2927NEBRASKANo
23336L0003XPharmacyLong Term Care PharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy4190IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025962200MEDICAIDNEBRASKA
22129273OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.