Provider Demographics
NPI:1336384940
Name:U-SAVE PHARMACY OF AURORA
Entity Type:Organization
Organization Name:U-SAVE PHARMACY OF AURORA
Other - Org Name:JIM'S U-SAVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCHARGUE
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:402-694-3187
Mailing Address - Street 1:219 Q ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NE
Mailing Address - Zip Code:68818-1118
Mailing Address - Country:US
Mailing Address - Phone:402-694-3187
Mailing Address - Fax:402-694-6444
Practice Address - Street 1:219 Q ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NE
Practice Address - Zip Code:68818-1118
Practice Address - Country:US
Practice Address - Phone:402-694-3187
Practice Address - Fax:402-694-6444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025415000Medicaid
NE10025415000Medicaid