MEDICINE MAN PHARMACY
NPI 1285044032
Pharmacy - Community/Retail Pharmacy in North Bend, NE

Active since May 02, 2014CLIA 28D2196406 · Waiver
748 MAIN ST, NORTH BEND, NE 68649(402) 652-3217(402) 652-8219 Get Directions Write a Review

NPPES record last updated: December 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 26, 2019, Jul 19, 2018, Apr 23, 2018 and 3 more (6 updates tracked since 2016).

About Medicine Man Pharmacy NPPES

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

MEDICINE MAN PHARMACY (NPI 1285044032) is a healthcare organization registered as a community/retail pharmacy in North Bend, Nebraska and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Mitch Staiger, Vice President/pharmacist-in-charge, as its authorized official.

NPPES Registry Identity

NPI1285044032
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBLPS LLC
Location Address748 MAIN STNorth Bend, NE 68649-5003
Mailing Address748 Main StNorth Bend, NE 68649-5003 · (402) 652-3217 · Fax (402) 652-8219
Fax(402) 652-8219
Organization SubpartNo
Authorized OfficialMitch StaigerVice President/pharmacist-in-charge · (402) 652-3217
Enumeration DateMay 2, 2014
Last NPPES UpdateDecember 26, 20196 updates tracked since enumeration
NPI 1285044032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NE · 3034
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
748 MAIN ST, North Bend, NE 68649

Other Names 1

Doing Business AsMedicine Man Pharmacy

Other Identifiers 3

Other3034NE · State Pharmacy License Number
Medicaid10026406100NE
Other2146052Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2196406

Blps LLC Dba Medicine Man Pharmacy · North Bend, NE
Active · expires Oct 15, 2026
CLIA Number28D2196406
Laboratory TypePharmacy
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorJed L. Lewis
Laboratory Phone(402) 652-3217
Laboratory LocationBlps LLC Dba Medicine Man Pharmacy748 N Main St, North Bend, NE 68649
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
60 services59 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
60 services59 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
748 MAIN ST
NORTH BEND, NE 68649

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 Blps LLC's NPI number?

The NPI number for Blps LLC is 1285044032. It was assigned to this organization in the NPPES registry on May 2, 2014. The provider is doing business as Medicine Man Pharmacy.

Where is Blps LLC located?

Blps LLC is located at 748 Main St, North Bend, NE 68649. The listed phone number is (402) 652-3217.

What is Blps LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Blps LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2196406) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blps LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Blps LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blps LLC was last updated on December 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.