DR. SAMANTHA ELYSE KENIK


Address: 3308 Samson Way Ste 106, Bellevue, NE 68123-3235
Phone: 4022915076

DR. SAMANTHA ELYSE KENIK (NPI# 1467093021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467093021
Entity Type Individual
Full Name DR. SAMANTHA ELYSE KENIK
Credential PHARMD
Practice Address 3308 Samson Way Ste 106
Bellevue
NE 68123-3235
Mailing Address 1710 S 58th St
Omaha
NE 68106-2224
Practice Telephone 4022915076
Mailing Telephone 4024907859
Enumeration Date 2019-10-04
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 15383 NE Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
16909 Lakeside Hills Ct Ste 107, Omaha, NE 681304661 4027585006
7710 Mercy Rd Ste 110, Omaha, NE 681242346 4023986781
8613 N 30th St, Omaha, NE 681121852 4024512125

Office Location

Street Address 3308 SAMSON WAY STE 106
City BELLEVUE
State NE
Zip Code 68123-3235

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482227 Gloria Pettigrew-fletcher Community Health Worker 12432 A 36th St, C20, Bellevue, NE 68123 2020-03-13
1225480676 Heidi Jean Mccoy Dentist 2110 Towne Centre Drive, Bellevue, NE 68123 2016-07-11
1538557442 Mariam Abdelghany I Physician Assistant 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 2014-12-30
1205243367 Sara Johnson Pharmacist 3614 Twin Creeks Drive, Bellevue, NE 68123 2014-07-21
1174826747 Francine Amy Drummond Dentist 1701 Independence Lane #22, Bellevue, NE 68123 2010-12-21
1053509588 Dunlow Orthodontics, P.C. Dentist 2219 Capehart Road, Suite 102, Bellevue, NE 68123 2007-10-10
1801911870 Michelle Lynn Gaeth Dentist 11536 S. 31st St., Bellevue, NE 68123 2007-03-20
1386789832 Mary Monique Rotert Psychologist 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 2007-02-21
1316084098 Kevin B Jones Family Medicine 3308 Samson Way Ste 102, Bellevue, NE 68123 2007-01-31
1467529727 Nebraska Medical Center Pharmacy 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 2006-11-29
Find all providers in zip 68123

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336754258 Benjamin David Wilson Pharmacist 8110 Hghway 100, Bellevue, TN 37221 2020-09-09
1962047621 Gina Renee Kalinowski Pharmacist 4315 Waterford Ave, Bellevue, NE 68123-6237 2019-11-16
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1295283570 Gina Kim Pharmacist 13024 Se 47th Pl, Bellevue, WA 98006-2070 2016-09-15
1396292173 Ross Burnett Pharmacist 2331 130th Ave Ne Ste 200, Bellevue, WA 98005-1760 2016-09-08
1760939052 Emilie Mika Ito Pharmacist 14118 Se 61st Pl, Bellevue, WA 98006-4375 2016-09-05
1972056398 Bethany Coquerille Pharmacist 4411 Waterford Ave, Bellevue, NE 68123-6269 2016-08-02
1114396447 Mary Pak Pharmacist 12267 Ne 3rd Pl, Bellevue, WA 98005-4821 2015-09-16
1932576436 Sheryle Ishimoto Pharmacist 317 112th Ave Ne Apt 719, Bellevue, WA 98004-6572 2015-08-31
1518360247 Dale Cary Pharmacist 6 Lake Bellevue Dr, #207, Bellevue, WA 98005-2416 2014-10-08
Find all providers in BELLEVUE

Competitor

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City BELLEVUE
Zip Code 68123

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Dataset Information

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.

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