PROFESSIONAL COMPOUNDING CENTER OF SOUTHEAST NEBRASKA INC
NPI 1073514477
Pharmacist in Beatrice, NE

Active since August 09, 2005
910 E COURT ST, STE B, BEATRICE, NE 68310(402) 223-4774(402) 223-5610 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Compounding Center Of Southeast Nebraska Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL COMPOUNDING CENTER OF SOUTHEAST NEBRASKA INC (NPI 1073514477) is a healthcare organization registered as a pharmacist in Beatrice, Nebraska and active in the NPI registry since August 2005. The organization lists Mitchell E Deines, President, as its authorized official.

NPPES Registry Identity

NPI1073514477
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NamePROFESSIONAL COMPOUNDING CENTER OF SOUTHEAST NEBRASKA INC
Location Address910 E COURT ST, STE BBeatrice, NE 68310-4085
Mailing Address910 E Court St, Ste BBeatrice, NE 68310-4085 · (402) 223-4774 · Fax (402) 223-5610
Fax(402) 223-5610
Organization SubpartNo
Authorized OfficialMitchell E DeinesPresident · (402) 223-4774
Enumeration DateAugust 9, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1073514477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NE · 2345
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
910 E COURT ST, Beatrice, NE 68310

Other Identifiers 2

Medicaid47074248301NE
Other36931Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Compounding Center Of Southeast Nebraska Inc's NPI number?

The NPI number for Professional Compounding Center Of Southeast Nebraska Inc is 1073514477. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Professional Compounding Center Of Southeast Nebraska Inc located?

Professional Compounding Center Of Southeast Nebraska Inc is located at 910 E Court St Ste B, Beatrice, NE 68310. The listed phone number is (402) 223-4774.

What is Professional Compounding Center Of Southeast Nebraska Inc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Professional Compounding Center Of Southeast Nebraska Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.