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PROVIDENCE MEDICAL CENTER
NPI 1457819922
Pharmacy - Community/Retail Pharmacy in Wayne, NE

Active since March 04, 2019
803 PROVIDENCE RD STE 101, WAYNE, NE 68787(402) 375-8862(402) 375-8863 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 11, 2025, Sep 5, 2019, Mar 4, 2019 (3 updates tracked since 2019).

About Providence Medical Center NPPES

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

PROVIDENCE MEDICAL CENTER (NPI 1457819922), doing business as Providence Community Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Wayne, Nebraska and active in the NPI registry since March 2019. The organization lists Kimberly Lueders, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1457819922
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROVIDENCE MEDICAL CENTER
Location Address803 PROVIDENCE RD STE 101Wayne, NE 68787-1590
Mailing Address1200 Providence RdWayne, NE 68787-1212 · (402) 375-7920 · Fax (402) 375-7605
Phone(402) 375-8862
Fax(402) 375-8863
Organization SubpartNo
Authorized OfficialKimberly LuedersPharmacy Director · (402) 375-7920
Enumeration DateMarch 4, 2019
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1457819922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
803 PROVIDENCE RD STE 101, Wayne, NE 68787
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Other Names 1

Doing Business AsProvidence Community Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 4

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.

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.
384 services382 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
367 services367 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
30 services30 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
30 services30 patients

Medical Equipment Supplier Medicare DMEPOS 17

Medicare supplier enrollment and the product categories Providence Community Pharmacy carries, from the Medicare DMEPOS supplier directory.

Providence Community Pharmacy

DMEPOS supplier · Wayne, NEOperated by Providence Medical Center
✔

Accepts Medicare assignment

Providence Community Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20673155
Medicare Participant SinceMarch 1, 1991
Supplier Location803 Providence Rd Ste 101Wayne, NE 68787
Phone(402) 375-8862
Supplier Specialties
Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

SHANNA KAY JENSEN PHARMD
Pharmacist
803 PROVIDENCE RD STE 101
WAYNE, NE 68787
Wayne County (402) 375-8862
PROVIDENCE MEDICAL CENTER
Pharmacy (Long Term Care Pharmacy)
803 PROVIDENCE RD STE 101
WAYNE, NE 68787
Wayne County (402) 375-8862
CASSANDRA KORTH PHARMD
Pharmacist
803 PROVIDENCE RD STE 101
WAYNE, NE 68787
Wayne County (402) 375-8862

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 Providence Medical Center's NPI number?

The NPI number for Providence Medical Center is 1457819922. It was assigned to this organization in the NPPES registry on March 4, 2019. The provider is doing business as Providence Community Pharmacy.

Where is Providence Medical Center located?

Providence Medical Center is located at 803 Providence Rd Ste 101, Wayne, NE 68787. The listed phone number is (402) 375-8862.

What is Providence Medical Center's specialty?

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

Does Providence Medical Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Providence Community Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Providence Medical Center 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 48 other insurers list Providence Medical Center 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 Providence Medical Center was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.