BRADLEY MICHAEL SUNDSBOE (NPI# 1811448756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811448756 |
| Entity Type | Individual |
| Full Name | BRADLEY MICHAEL SUNDSBOE |
| Practice Address |
5062 S 155th St Omaha NE 68137 |
| Mailing Address |
5062 S 155th St Omaha NE 68137-5002 |
| Practice Telephone | 4028616966 |
| Mailing Telephone | 4028616966 |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2019-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 22832 | IA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 15313 | NE | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4310 Ames Ave, Omaha, NE 681112149 | 4024534530 |
| Street Address |
5062 S 155TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386650752 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5062 S 155th St, Omaha, NE 68137-5002 | 2006-07-31 |
| 1194322156 | Leslie Anne Chudomelka | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2020-10-02 |
| 1891312393 | Clarissa Hunzeker | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2020-06-30 |
| 1215441605 | Jay Boyll | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2017-11-22 |
| 1619490513 | Andrew Bendlin | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2017-07-23 |
| 1720358930 | Tim Charles Kautzman | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2012-01-04 |
| 1750658191 | Rhonda Schmidt | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2011-11-30 |
| 1508133687 | Brenda Ann Schweigart | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2011-11-17 |
| 1710263702 | Dawn C Fountain | Pharmacist | 5062 S 155th St, Omaha, NE 68137-5002 | 2011-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| 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.