OrganizationActiveAccepts Medicare
South Loup Community Pharmacy
NPI 1902107345 · Community/Retail Pharmacy · Callaway, NE
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1902107345
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brett Eggleston, Ceo(308) 836-2228
- License
- 2897 (NE)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 E Pacific St
Callaway, NE 68825-2500
Phone: (308) 836-2219
Fax: (308) 836-2625
Street-level locationGet directions
Mailing address
200 E Pacific St
Callaway, NE 68825-2500
Other names (DBA / former)
- Doing business as
- South Loup Community Pharmacy
Registry dates
- Enumerated
- 2010-11-16
- Last updated
- 2022-12-30
- Certified
- 2022-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.