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ROCK COUNTY CLINIC PHARMACY
NPI 1720084668
Pharmacy in Bassett, NE

Active since June 24, 2005CLIA 28D1046786 · Waiver
102 E SOUTH ST, BASSETT, NE 68714(402) 684-2906(402) 684-3822 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rock County Clinic Pharmacy NPPES

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

ROCK COUNTY CLINIC PHARMACY (NPI 1720084668) is a healthcare organization registered as a pharmacy in Bassett, Nebraska and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Jeanie Marie Shankland, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1720084668
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameROCK COUNTY CLINIC PHARMACY
Location Address102 E SOUTH STBassett, NE 68714-5508
Mailing AddressHc 75 Box 400Bassett, NE 68714-9761 · (402) 684-2906 · Fax (402) 684-3822
Phone(402) 684-2906
Fax(402) 684-3822
Organization SubpartNo
Authorized OfficialJeanie Marie ShanklandClinic Manager · (402) 684-2906
Enumeration DateJune 24, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720084668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NE · 1002386
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
102 E SOUTH ST, Bassett, NE 68714
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Other Identifiers 2

Medicaid100251015-00NE
Other2816683NE · Nabp

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 28D1046786

Rock County Clinic · Bassett, NE
Active · expires Oct 17, 2027
CLIA Number28D1046786
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorDr. Suzette Woodward
Laboratory Phone(402) 684-2906
Laboratory LocationRock County Clinic801 South State Street, Bassett, NE 68714
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

WILLIAM G LURZ DDS
Dentist
102 E SOUTH ST
BASSETT, NE 68714
Rock County (402) 684-2919
SHANDA DAE BENEMERITO OTR/L, CPAM
Occupational Therapist
102 E SOUTH ST, RCH REHAB DEPARTMENT
BASSETT, NE 68714
Rock County (402) 684-3366
MR. ALVIN ORTEGA BENEMERITO RPT
Physical Therapist
102 E SOUTH ST, RCH REHAB DEPARTMENT
BASSETT, NE 68714
Rock County (402) 684-3366
ROCK COUNTY HOSPITAL
Home Health
102 E SOUTH ST
BASSETT, NE 68714
Rock County (402) 684-3366
ROCK COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
102 E SOUTH ST
BASSETT, NE 68714
Rock County (402) 684-3366
DR. WILLIAM G LURZ DDS
Dentist
102 E SOUTH ST
BASSETT, NE 68714
Rock County (402) 684-2919
ROCK COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
102 E SOUTH ST
BASSETT, NE 68714
Rock County (402) 684-3366
ROCK COUNTY HOSPITAL RESPITE
General Acute Care Hospital (Critical Access)
102 E SOUTH ST
BASSETT, NE 68714
Rock County (402) 684-3366

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 Rock County Clinic Pharmacy's NPI number?

The NPI number for Rock County Clinic Pharmacy is 1720084668. It was assigned to this organization in the NPPES registry on June 24, 2005.

Where is Rock County Clinic Pharmacy located?

Rock County Clinic Pharmacy is located at 102 E South St, Bassett, NE 68714. The listed phone number is (402) 684-2906.

What is Rock County Clinic Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Rock County Clinic Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1046786) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rock County Clinic Pharmacy 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 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.