Provider Demographics
NPI:1497867493
Name:D & S PHARMACY INC
Entity Type:Organization
Organization Name:D & S PHARMACY INC
Other - Org Name:MEDICAP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYSENBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-435-4800
Mailing Address - Street 1:2555 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4758
Mailing Address - Country:US
Mailing Address - Phone:402-435-4800
Mailing Address - Fax:402-435-4900
Practice Address - Street 1:2555 KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521
Practice Address - Country:US
Practice Address - Phone:402-435-4800
Practice Address - Fax:402-435-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE153333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2816936OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NE10025164000Medicaid
NE10025164000Medicaid
NE099601Medicare PIN
NE10025164000Medicaid