DR. CHANDA MARIE SMALL (NPI# 1164831491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164831491 |
| Entity Type | Individual |
| Full Name | DR. CHANDA MARIE SMALL |
| Credential | PHARM.D. |
| Practice Address |
1710 S 70th St Lincoln NE 68506 |
| Mailing Address |
1710 S 70th St Ste 200 Lincoln NE 68506-1682 |
| Practice Telephone | 4024840912 |
| Practice Fax Number | 4024840800 |
| Mailing Telephone | 4024840912 |
| Mailing Fax Number | 4024840800 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15661 | NE | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 1-16462 | KS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS PHARMACY LICENSE | 1-16462 | 01 |
| NE | NEBRASKA PHARMACIST LICENSE | 15661 | 01 |
| Street Address |
1710 S 70TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930433 | Jay Alan Sveen | Nurse Anesthetist, Certified Registered | 1710 S 70th St, Ste 200, Lincoln, NE 68506-1677 | 2005-05-23 |
| 1952788481 | Samuel Thomsen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2015-05-05 |
| 1497985642 | Jordan James Rixen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-07-22 |
| 1083854699 | David Pan | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-02-23 |
| 1265690598 | Michelle L. White | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2008-05-22 |
| 1861666463 | Daniel Andrew Chruscicki | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2008-04-15 |
| 1730216326 | Leanne Renee Carlson | Physician Assistant | 1710 S 70th St, Lincoln, NE 68506-1676 | 2007-02-28 |
| 1982770004 | Mary Linda Loker | Nurse Anesthetist, Certified Registered | 1710 S 70th St, Lincoln Surigical Hospital, Lincoln, NE 68506-1676 | 2006-11-28 |
| 1144217092 | David W. Blodgett | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2005-10-05 |
| 1023002847 | Donald Paul Sauberan | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1601 | 2005-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965923 | Joseph Edward Dimasso | Pharmacist | 106 Wilbur Rd, Lincoln, RI 02865-4320 | 2020-09-02 |
| 1811509367 | Brendan Bu | Pharmacist | 1393 Rawlings Ln, Lincoln, CA 95648-3220 | 2020-08-17 |
| 1871128199 | Kamy Niemeyer | Pharmacist | 5611 S 27th St, Lincoln, NE 68512-1613 | 2020-03-06 |
| 1518504802 | Just Better Medicine | Pharmacist | 6545 Stonebrook Pkwy, Lincoln, NE 68521-6659 | 2019-12-05 |
| 1831735604 | Cynthia Marcotte | Pharmacist | 915 1850th St, Lincoln, IL 62656-5210 | 2019-11-26 |
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1144884347 | Simon Rasho | Pharmacist | 6600 Peonies Dr, Lincoln, NE 68521-4573 | 2019-04-24 |
| 1346712858 | Ryan Ray Zwick | Pharmacist | 1600 S 48th St # Ne68506, Lincoln, NE 68506-1283 | 2018-12-21 |
| 1619455276 | Brian Derrick Sneed | Pharmacist | 919 Pulaski St, Lincoln, IL 62656-3133 | 2018-08-04 |
| 1912499864 | Nicole Christine O'brien | Pharmacist | 32 Linda St, Lincoln, RI 02865-2216 | 2018-06-05 |
| Find all providers in LINCOLN | ||||
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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.