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PROVIDENCE MEDICAL CENTER
NPI 1700626645
Pharmacy - Long Term Care Pharmacy in Wayne, NE

Active since May 29, 2024
803 PROVIDENCE RD STE 101, WAYNE, NE 68787(402) 375-8862(402) 375-8863 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Medical Center NPPES

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

PROVIDENCE MEDICAL CENTER (NPI 1700626645), doing business as Providence Community Pharmacy, is a healthcare organization registered as a long term care pharmacy in Wayne, Nebraska and active in the NPI registry since May 2024. The organization lists Kimberly Lueders, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1700626645
Entity TypeOrganization
Primary Taxonomy3336L0003X
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 DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1700626645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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 ›

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 (Community/Retail 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 1700626645. It was assigned to this organization in the NPPES registry on May 29, 2024. 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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

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 30 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 May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.