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NEBRASKA CVS PHARMACY LLC NPI 1225222110


NPI Information

NPI: 1225222110
Provider Name: NEBRASKA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #17392

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 28D2220660

Address:
16959 EVANS PLZ
OMAHA, NE
ZIP 68116
Phone: (402) 970-1001
Get Directions

NEBRASKA CVS PHARMACY LLC 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 CVS PHARMACY LLC NPI is 1225222110. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17392.

The provider's business location address is:

16959 EVANS PLZ
OMAHA, NE
ZIP 68116-388
Phone: (402) 970-1001
Fax: (402) 970-1011

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 28D2220660 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 11/8/2016.


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
23336C0003XPharmacyCommunity/Retail Pharmacy3070NEBRASKANo
3333600000XPharmacyYes

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
15753070020MEDICARE NSC
22055925OTHERPK

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: 11/14/2023

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