1265432561 NPI number — FALLS CITY MEDS INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265432561 NPI number — FALLS CITY MEDS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FALLS CITY MEDS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FALLS CITY PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265432561
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 E 18TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALLS CITY
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68355-2116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-245-2029
Provider Business Mailing Address Fax Number:
402-245-2521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 E 18TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALLS CITY
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68355-2116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-245-2029
Provider Business Practice Location Address Fax Number:
402-245-2521
Provider Enumeration Date:
07/28/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VEGESANA
Authorized Official First Name:
SRINIVASA RAJU
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
407-687-3393

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 2939 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2136754 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100262262-00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200257510A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".