Community Pharmacy Services Inc – Long Term Care Pharmacy, NPI 1063624328
Long Term Care Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Community Pharmacy Services Inc
PO BOX 524
GRETNA, NE 680280524
Phone: (402) 289-0431
Fax: (402) 289-0436
Type: Mailing
21689 NORTHSTAR DR
GRETNA, NE 680284941
Phone: (402) 289-0431
Fax: (402) 289-0436
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (620 days ago).
Enrollment records
2
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090925000159 | O | Mass Immunization (Roster Biller Only) | NE | 2025-08-31 |
| O20101109001307 | O | Pharmacy | NE | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 222 | 222 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 208 | 208 | $0 |
| G0008 | Administration of influenza virus vaccine | 197 | 197 | $0 |
| 91312 | Sarscov2 vac bvl 30mcg/0.3ml | 47 | 47 | $0 |
Insurance plans in this area (ZIP 68028)
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