Healthcare Provider Details
I. General information
NPI: 1518982479
Provider Name (Legal Business Name): REDLINE PHARMACY SOLUTIONS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2415 OSBORNE DR E SUITE 100
HASTINGS NE
68901-2577
US
IV. Provider business mailing address
1170 NE INDUSTRIAL PARK RD
MERIDIAN MS
39301-1100
US
V. Phone/Fax
- Phone: 402-462-2929
- Fax: 402-462-2932
- Phone: 601-482-7420
- Fax: 601-482-7490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 2835 |
| License Number State | NE |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 2835 |
| License Number State | NE |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 2835 |
| License Number State | NE |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 2835 |
| License Number State | NE |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | 2835 |
| License Number State | NE |
VIII. Authorized Official
Name:
TIMOTHY
F.
REDLINE
Title or Position: PRESIDENT
Credential:
Phone: 402-462-2929