NEBRASKA CVS PHARMACY LLC (NPI# 1033131735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033131735 |
| Entity Type | Organization |
| Organization Name | NEBRASKA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16903 |
| Practice Address |
17810 W Center Rd Omaha NE 68130-2308 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4026974876 |
| Practice Fax Number | 4029724488 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3072 | NE | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2055573 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16903 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366821944 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2307 23rd St, Columbus, NE 68601-3303 | 2015-05-28 |
| 1912333097 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1301 West Norfolk Ave, Norfolk, NE 68701 | 2013-09-19 |
| 1811339633 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1710 W 2nd St, Grand Island, NE 68803-5409 | 2013-07-22 |
| 1144585217 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6901 South 84th St, La Vista, NE 68128-2127 | 2012-07-05 |
| 1497012967 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8315w Center Rd, Omaha, NE 68124-3111 | 2012-04-20 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| 1699057760 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5611 South 27th St, Lincoln, NE 68512-1613 | 2011-09-15 |
| 1831479401 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 N 90th St, Omaha, NE 68114 | 2011-08-26 |
| 1629358064 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2609 S 132nd St, Omaha, NE 68144-2595 | 2011-08-17 |
| 1326341546 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1701 Galvin Rd S, Bellevue, NE 68005-3810 | 2010-12-09 |
| Street Address |
17810 W CENTER RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972983328 | Mallory Maureen Raber | Pharmacist | 17810 W Center Rd, Omaha, NE 68130-2308 | 2015-06-01 |
| 1750771242 | Mahreen Haq | Pharmacy Technician | 17810 W Center Rd, Omaha, NE 68130-2308 | 2015-02-04 |
| 1477943066 | Brittney Harnack | Pharmacy Technician | 17810 W Center Rd, Omaha, NE 68130-2308 | 2015-02-03 |
| 1336539949 | Taysha Colgrove I | Pharmacy Technician | 17810 W Center Rd, Omaha, NE 68130-2308 | 2015-02-03 |
| 1326453481 | Megan Klein | Pharmacist | 17810 W Center Rd, Omaha, NE 68130-2308 | 2014-06-27 |
| 1578811493 | Sadie Cole | Optometrist | 17810 W Center Rd, Omaha, NE 68130-2308 | 2012-08-27 |
| 1588921373 | Whitney Kay Cernik | Pharmacist | 17810 W Center Rd, T-1777, Omaha, NE 68130-2308 | 2012-04-18 |
| 1750678546 | Jennifer Baxter | Pharmacist | 17810 W Center Rd, Omaha, NE 68130-2308 | 2011-06-30 |
| 1780979310 | Tina Jansen | Pharmacist | 17810 W Center Rd, Omaha, NE 68130-2308 | 2011-06-11 |
| 1497040018 | Emily Schumacher | Pharmacist | 17810 W Center Rd, Omaha, NE 68130-2308 | 2011-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1215488788 | Cancer Specialty Pharmacy LLC | Pharmacy | 17545 Gold Plz, Omaha, NE 68130-5602 | 2016-10-20 |
| 1437504669 | Brooksiderx LLC | Pharmacy | 11020 Q St, Omaha, NE 68137-3742 | 2016-04-25 |
| 1659633907 | Pharmacy Express Services Inc | Pharmacy | 349 N 78th St, Omaha, NE 68114-3640 | 2012-06-12 |
| 1104969872 | No Frills Pharmacy LLC | Pharmacy | 7646 Dodge St, Omaha, NE 68114-3635 | 2007-02-14 |
| 1295878965 | No Frills Pharmacy LLC | Pharmacy | 2011 N 156th St, Omaha, NE 68116-6465 | 2007-02-14 |
| 1518017656 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 12739 Q Street, Omaha, NE 68137-3211 | 2007-01-11 |
| 1710037841 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2007-01-11 |
| 1851448898 | Bp Inc | Pharmacy | 15615 Pacific St Ste 8, Omaha, NE 68118-2118 | 2007-01-04 |
| 1699872416 | Occuvax LLC | Pharmacy | 13423 Lynam Dr, Omaha, NE 68138-4446 | 2006-09-20 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.