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ALEGENT CREIGHTON HEALTH NPI 1780753632


NPI Information

NPI: 1780753632
Provider Name: ALEGENT CREIGHTON HEALTH

Doing Business As: CHI HEALTH PHARMACY-LAKESIDE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 28D0947156

Address:
16909 LAKESIDE HILLS CT
STE 107
OMAHA, NE
ZIP 68130
Phone: (402) 758-5006
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ALEGENT CREIGHTON HEALTH is a community/retail pharmacy pharmacy in Omaha, NE. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ALEGENT CREIGHTON HEALTH NPI is 1780753632. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi Health Pharmacy-lakeside.

The provider's business location address is:

16909 LAKESIDE HILLS CT
STE 107
OMAHA, NE
ZIP 68130-664
Phone: (402) 758-5006
Fax: (402) 758-5094

The provider's authorized official is Matthew Hazen .
The authorized official title is Director and has the following contact phone number (402) 343-4546.

The CLIA number assigned to this NPI record is 28D0947156 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2006 and was last updated on 4/27/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy2661NEBRASKAYes

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
110026519109MEDICAIDNEBRASKA
22814879OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
37482690006MEDICARE NSCNEBRASKA

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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