Provider Demographics
NPI:1033228754
Name:VOGT PHARMACIES INC
Entity Type:Organization
Organization Name:VOGT PHARMACIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:VOGT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:402-443-4167
Mailing Address - Street 1:526 N LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-1961
Mailing Address - Country:US
Mailing Address - Phone:402-443-4167
Mailing Address - Fax:402-443-4168
Practice Address - Street 1:3140 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1537
Practice Address - Country:US
Practice Address - Phone:402-476-5222
Practice Address - Fax:402-476-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE25353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE1225060002Medicare ID - Type Unspecified