Provider Demographics
NPI:1750424420
Name:NO FRILLS PHARMACY LLC
Entity type:Organization
Organization Name:NO FRILLS PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKSAMIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D RP MBA
Authorized Official - Phone:402-657-1793
Mailing Address - Street 1:9411 CHESTNUT DR
Mailing Address - Street 2:ATTN MIKE AKSAMIT
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-1713
Mailing Address - Country:US
Mailing Address - Phone:402-657-1793
Mailing Address - Fax:402-939-0041
Practice Address - Street 1:15817 C W HADAN DR
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-2017
Practice Address - Country:US
Practice Address - Phone:402-932-5556
Practice Address - Fax:402-932-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2019-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE28663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2816758OtherOTHER ID NUMBER
NE10025141400Medicaid
2816758OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2816758OtherOTHER ID NUMBER
NE10025141400Medicaid