Provider Demographics
NPI:1427002914
Name:U SAVE PHARMACY OF AUBURN LLC
Entity Type:Organization
Organization Name:U SAVE PHARMACY OF AUBURN LLC
Other - Org Name:CODY'S USAVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUSZAK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:402-873-3397
Mailing Address - Street 1:1821 S 11TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-3474
Mailing Address - Country:US
Mailing Address - Phone:402-873-3397
Mailing Address - Fax:402-873-3825
Practice Address - Street 1:1821 S 11TH STREET
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-3474
Practice Address - Country:US
Practice Address - Phone:402-873-3397
Practice Address - Fax:402-873-3825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE47059832511183500000X
332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Multi-Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025502401Medicaid
NE2803460OtherNCPDP
6252880001Medicare NSC