Provider Demographics
NPI:1932242609
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:MICHEAL
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:
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 1:8005 BLONDO ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-6664
Practice Address - Country:US
Practice Address - Phone:402-657-1793
Practice Address - Fax:402-397-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2815251OtherOTHER ID NUMBER
2815251OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2815251OtherOTHER ID NUMBER
4194090003Medicare NSC