ALEGENT CREIGHTON HEALTH (NPI# 1619396835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619396835 |
| Entity Type | Organization |
| Organization Name | ALEGENT CREIGHTON HEALTH |
| Practice Address |
3135 W Broadway Suite 101 Council Bluffs IA 51501-3359 |
| Practice Telephone | 7122422070 |
| Practice Fax Number | 7122422077 |
| Mailing Telephone | 7122422070 |
| Mailing Fax Number | 7122422077 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2017-10-23 |
| Authorized Official Name | MIKE TIESI (SENIOR DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4023434546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0220546 | 05 | |
| NE | NEBRASKA NON RESIDENT MAIL SERVICE PHARMACY | 1081 | 01 |
| IA | IOWA COMMUNITY PHARMACY PERMIT | 1504 | 01 |
| NE | 10026519120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293744 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 | 2019-03-04 |
| 1104251628 | Alegent Creighton Health | Radiology | 17201 Wright St Ste 100, Omaha, NE 68130-2042 | 2013-09-04 |
| 1952660615 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 8248 S 96th St Ste 101, La Vista, NE 68128-3126 | 2012-05-15 |
| 1427317205 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 13315 W Center Rd Ste 101, Omaha, NE 68144-3449 | 2012-05-14 |
| 1164553954 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 17201 Wright St, Suite 202, Omaha, NE 68130-2042 | 2007-03-07 |
| 1033288923 | Alegent Creighton Health | Dietitian, Registered | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2006-11-07 |
| 1083700959 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 3308 Samson Way Ste 106a, Bellevue, NE 68123-3235 | 2006-10-05 |
| 1760578652 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Ct Ste 107, Omaha, NE 68130-4661 | 2006-10-05 |
| 1508213810 | Alegent Creighton Health | Clinic/Center | 11111 S 84th St, Papillion, NE 68046-4122 | 2016-05-17 |
| 1376910448 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 4220 L St, Omaha, NE 68107-1048 | 2015-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEGENT CREIGHTON HEALTH | 7261 Mercy Rd, Omaha, NE 68124-2311 |
| Washington State Corporations | ALEGENT CREIGHTON HEALTH | 12809 W Dodge Rd, Omaha, NE 68154 |
| Street Address |
3135 W BROADWAY SUITE 101 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962418640 | Barclay A Monaster | Family Medicine | 3135 W Broadway, Council Bluffs, IA 51501 | 2006-08-01 |
| 1689223943 | Kaitlin Nicole Desoe | Registered Nurse | 3135 W Broadway, Council Bluffs, IA 51501-3359 | 2019-09-10 |
| 1922515030 | Laura P Denning | Nurse Practitioner | 3135 W Broadway, Council Bluffs, IA 51501-3359 | 2018-01-10 |
| 1649651928 | Michaela M. Lintner | Nurse Practitioner | 3135 W Broadway, Ste 100, Council Bluffs, IA 51501-3359 | 2015-06-12 |
| 1467848309 | Kathryn Free | Pediatrics | 3135 W Broadway, Council Bluffs, IA 51501 | 2015-04-07 |
| 1881095503 | Karoweso Margaret Chipendo | Registered Nurse | 3135 W Broadway, Suite 100, Council Bluffs, IA 51501-3359 | 2014-09-12 |
| 1891074803 | Pranith Surabhi | Family Medicine | 3135 W Broadway, Suite 100, Council Bluffs, IA 51501-3359 | 2011-08-08 |
| 1992035778 | Tara L Sands | Nurse Practitioner | 3135 W Broadway, Council Bluffs, IA 51501 | 2009-12-30 |
| 1699939538 | Jamie Armbruster | Family Medicine | 3135 W Broadway, Suite 100, Council Bluffs, IA 51501-3359 | 2008-07-10 |
| 1437345329 | Sonia Acharya-gupta | Family Medicine | 3135 W Broadway, Suite 100, Council Bluffs, IA 51501-3359 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376659078 | B & R Stores, Inc | Pharmacy | 1141 N Broadway, Council Bluffs, IA 51503-1513 | 2006-08-23 |
| 1790799054 | Pharmacy Express Services Inc | Pharmacy | 1817 W Broadway, Council Bluffs, IA 51501-3823 | 2006-07-29 |
| 1255345518 | Pharmacy Express Services Inc. | Pharmacy | 1801 Valley View Dr, Council Bluffs, IA 51503-5462 | 2006-07-29 |
| 1942239454 | Hy Vee Inc | Pharmacy | 2323 W Broadway, Council Bluffs, IA 51501-3602 | 2006-06-30 |
| 1457402968 | Oard-ross Drug Inc | Pharmacy | 701 16th Ave, Council Bluffs, IA 51501-6378 | 2007-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on ALEGENT CREIGHTON HEALTH.
| 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.