Provider Demographics
NPI:1013050780
Name:NO FRILLS PHARMACY LLC
Entity Type:Organization
Organization Name:NO FRILLS PHARMACY LLC
Other - Org Name:HEALTH MART PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AKSAMIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD RP MBA
Authorized Official - Phone:402-657-1793
Mailing Address - Street 1:6232 N 104TH ST
Mailing Address - Street 2:ATTN MIKE AKSAMIT
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-1012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:820 N SADDLE CREEK RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2520
Practice Address - Country:US
Practice Address - Phone:402-556-9313
Practice Address - Fax:402-556-7830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2816784OtherOTHER ID NUMBER
NE10025141500Medicaid
2816784OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2816784OtherOTHER ID NUMBER