Medicap Pharmacy

LBN: Jammal Pharms Inc
Medicap Pharmacy is an health care organization with primary practice located at 2706 2Nd Ave Ste A, Kearney NE 68847-4429. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jammal Pharms Inc can be contacted via phone (308) 234-8056, or through Jensen, Jerry Lee via phone (308) 234-8056.

Contact Information

Primary practice address
2706 2Nd Ave Ste A Kearney NE 68847-4429
Phone: (308) 234-8056
Fax: (308) 234-8060
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Jerry Lee PHARMD
Phone: (308) 234-8056

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 110 Nebraska
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1235223645
LBN Legal business name Jammal Pharms Inc
DBA Doing business as Medicap Pharmacy
Authorized official Jensen, Jerry Lee PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235223645 NPPES
Nebraska Other 2816645 NCPDP #
Nebraska MEDICAID 10025044200 NCPDP #

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