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NEBRASKA MEDICAL CENTER NPI 1780135319


NPI Information

NPI: 1780135319
Provider Name: NEBRASKA MEDICAL CENTER

Doing Business As: NEB. MEDICINE PHARMACY AT LAURITZEN OUTPATIENT CENTER

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 28D2149182

Address:
4014 LEAVENWORTH STREET
OMAHA, NE
ZIP 68198
Phone: (402) 552-7999
Get Directions

NEBRASKA MEDICAL CENTER is a pharmacy in Omaha, NE. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NEBRASKA MEDICAL CENTER NPI is 1780135319. The provider is registered as an organization entity type.
The provider Is Doing Business As Neb. Medicine Pharmacy At Lauritzen Outpatient Center.

The provider's business location address is:

4014 LEAVENWORTH STREET
OMAHA, NE
ZIP 68198-610
Phone: (402) 552-7999
Fax: (402) 552-7792

The provider's authorized official is April M. Davidson .
The authorized official title is Pharmacy Manager and has the following contact phone number (402) 559-3287.

The CLIA number assigned to this NPI record is 28D2149182 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 12/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy3114NEBRASKAYes
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12165727OTHERPK
23114OTHERNEBRASKANEBRASKA PHARMACY PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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