STEPHANIE BOTTORF (NPI# 1164866562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164866562 |
| Entity Type | Individual |
| Full Name | STEPHANIE BOTTORF |
| Practice Address |
13831 Chalco Valley Pkwy Suite 101 Omaha NE 68138-6101 |
| Practice Telephone | 4025925244 |
| Mailing Telephone | 4025925244 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10959 | NE | Pharmacy Service Providers |
| Street Address |
13831 CHALCO VALLEY PKWY SUITE 101 |
| City | OMAHA |
| State | NE |
| Zip Code | 68138-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104982404 | Tdcs, LLC | Durable Medical Equipment & Medical Supplies | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6145 | 2006-12-29 |
| 1548692239 | Shannon Favela | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-08-05 |
| 1669812285 | Nicole Cox | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-06-27 |
| 1376983940 | Nancy Wallace | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-06-27 |
| 1841633245 | Brianne Paradise | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-04-16 |
| 1558704163 | Amanda Haynie | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-04-12 |
| 1821431438 | Carrie Friel | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-04-12 |
| 1740520584 | Stekradd Ventures Inc | Pharmacy | 13831 Chalco Valley Pkwy, Ste 101, Omaha, NE 68138-6101 | 2013-02-14 |
| 1336490226 | Andrew Horton | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2012-10-02 |
| 1497006381 | Erica Skorstad | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004513 | Pro Health Pain & Rehab LLC. | Chiropractor | 12744 Westport Parkway, Suite 1e, Lavista, NE 68138 | 2016-10-24 |
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| 1205165230 | Nina Dearmont Homan | Pharmacist | 10004 South 152nd St., Omaha, NE 68138 | 2009-12-22 |
| 1013131952 | Misty M Mitchell | Massage Therapist | 9905 Sapp Bros. Dr, Ste 4, Omaha, NE 68138 | 2007-04-12 |
| 1003105214 | Elizabeth Stephens Constance | Obstetrics & Gynecology | 7308 S 142nd St, Omaha, NE 68138 | 2011-03-29 |
| 1629244108 | Johanna L Hatcliff | Pharmacist | 14882 Giles Rd, Apt 101, Omaha, NE 68138-3148 | 2008-05-05 |
| 1700135084 | Kent R Brooks | Counselor | 14261 Rose Lane Rd, Omaha, NE 68138-3541 | 2012-09-02 |
| 1063878205 | Firstscan LLC | Clinic/Center | 9840 S 140th St, Suite 5, Omaha, NE 68138-3693 | 2016-01-04 |
| 1578509956 | Ah Pharmacy Services LLC | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2006-06-22 |
| 1003047507 | Professional Veterinary Products Ltd | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2009-07-31 |
| Find all providers in zip 68138 | ||||
| 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 |
|---|---|---|---|---|
| 1598365249 | Kenneth Fuchtman | Pharmacist | 4969 S 174th Ave, Omaha, NE 68135-3463 | 2020-10-30 |
| 1073120796 | Derek Eugene Popken | Pharmacist | Nebraska Medicine, 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2020-09-27 |
| 1003441874 | Riddhi Prakashbhai | Pharmacist | 4578 S 60th St, Omaha, NE 68117-1217 | 2020-03-11 |
| 1083249569 | Katrina Johanna Keebler | Pharmacist | 8315 W Center Rd, Omaha, NE 68124-3111 | 2020-03-05 |
| 1578103644 | Nathan L Suck | Pharmacist | 2115 S 61st St, Omaha, NE 68106-2129 | 2020-01-07 |
| 1427696152 | Suzanne Dee Anderson | Pharmacist | 16101 Evans St Ste 101, Omaha, NE 68116-6447 | 2019-12-12 |
| 1073078713 | Brooke Dee Hayes | Pharmacist | 10802 Farnam Dr Ste 100, Omaha, NE 68154-3200 | 2019-02-06 |
| 1124596812 | Neveen Eed | Pharmacist | 4216 N 146th Plz Apt 307, Omaha, NE 68116-4397 | 2018-11-11 |
| 1619450293 | James Robert Mcclane | Pharmacist | 17461 O St, Omaha, NE 68135-3445 | 2018-09-10 |
| 1578054482 | Michael G Heskin | Pharmacist | 4509 S 143rd St Ste 4, Omaha, NE 68137-4521 | 2018-05-25 |
| 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.