ALLIANCE COMMUNITY PHARMACY NPI 1073001244

NPI Information

  • NPI: 1073001244
  • Provider Name: ALLIANCE COMMUNITY PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 28D2150488
  • Address: 315 BOX BUTTE AVE
    ALLIANCE, NE
    ZIP 69301
  • Phone: (308) 629-1045

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NPI Details

ALLIANCE COMMUNITY PHARMACY is a community/retail pharmacy pharmacy in Alliance, NE. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ALLIANCE COMMUNITY PHARMACY NPI is 1073001244. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

315 BOX BUTTE AVE
ALLIANCE, NE
ZIP 69301-341
Phone: (308) 629-1045
Fax: (308) 629-1048

The provider's authorized official is Timothy Kotschwar .
The authorized official title is Pharmacy Owner and has the following contact phone number (308) 629-1045.

The CLIA number assigned to this NPI record is 28D2150488 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)

The enumeration date for this NPI number is 4/24/2018 and was last updated on 9/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy716NEBRASKAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12177218OTHERPK
210026727800MEDICAIDNEBRASKA

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: 11/21/2025

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