Havelock Neighborhood Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

287 Issued in NE

Legal business name

HAVELOCK NEIGHBORHOOD PHARMACY

Practice address

5844 Fremont St
Lincoln, NE 68507-1661

Phone

(402) 466-5555

Fax

(402) 465-8593

NPI assigned

Feb 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mitchell Deines, RP

Title

President

Phone

(402) 223-4779

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1003942400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 FREMONT ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 FREMONT ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071661",
            "telephone_number": "402-466-5555",
            "fax_number": "402-465-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVELOCK NEIGHBORHOOD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "DEINES",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-223-4779",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2815491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2815491",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081569700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danica Kae Hauxwell, PHARMD, RPH
• Havco Health Inc.
• Trisha Ann Havel
• Havelock Chiropractic Center PC
• Havelock Manor.
• Havelock Physical Therapy LLC
• Havelock Psychotherapy, LLC
• Jill Ann Haveman, MPAS, PA-C
• Haven Manor Assisted Living Plus
• Haven Manor, Inc.

• Community/Retail Pharmacy in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.