NEBRASKA CVS PHARMACY LLC (NPI# 1548576192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548576192 |
| Entity Type | Organization |
| Organization Name | NEBRASKA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 08294 |
| Practice Address |
4808 O St Lincoln NE 68510-1908 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 4024671134 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR,) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025896600 | 05 | |
| NE | NCPDP | 2818005 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 08294 | 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 |
4808 O ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971853 | Charleen Bao Tran Phan-cao | Pharmacist | 4808 O St, Lincoln, NE 68510-1908 | 2020-08-03 |
| 1811523467 | Andris Didrichsons | Pharmacist | 4808 O St, Lincoln, NE 68510-1908 | 2020-03-16 |
| 1053946236 | Stephen Philip Jones | Pharmacist | 4808 O St, Lincoln, NE 68510-1908 | 2020-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| 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 |
|---|---|---|---|---|
| 1629543665 | Sakrx, LLC | Pharmacy | 808 N 27th St, Lincoln, NE 68503-2523 | 2018-10-05 |
| 1487165452 | B&r Stores Inc | Pharmacy | 5460 S 56th St, Lincoln, NE 68516-1879 | 2017-10-18 |
| 1639527674 | Lincoln Pharmacy Inc | Pharmacy | 831 Sterling Pkwy # 120, Lincoln, CA 95648-8691 | 2016-06-01 |
| 1295073708 | B&r Stores, Inc. | Pharmacy | 840 Fallbrook Blvd, Lincoln, NE 68521-6648 | 2013-01-18 |
| 1467746768 | Nebraska Ltc Pharmacy | Pharmacy | 4300 S 48th St Ste 5, Lincoln, NE 68516-1279 | 2011-06-03 |
| 1538348842 | Extendcare The Pharmacy Inc | Pharmacy | 1219 N Cotner Blvd, Lincoln, NE 68505-1837 | 2007-11-02 |
| 1033303177 | Twelve Bridges Pharmacy, Inc. | Pharmacy | 835 Twelve Bridges Drive, Suite 82, Lincoln, CA 95648-8817 | 2007-08-31 |
| 1801919105 | Schmit Pharmacy Inc | Pharmacy | 3811 S 27th St, Lincoln, NE 68502-5713 | 2007-04-09 |
| 1003942400 | Havelock Neighborhood Pharmacy | Pharmacy | 5844 Fremont St, Lincoln, NE 68507-1661 | 2007-02-27 |
| 1588714893 | Pine Street Pharmacies | Pharmacy | 709 Woodlawn Rd, Lincoln, IL 62656-1445 | 2007-01-11 |
| 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.