Active NPI
Mandy Hurlburt
- Pharmacist
- Grand Island, NE
National Provider Identifier
1043089683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12372
- Practice address
- 3501 S Locust St
Grand Island, NE 68801-8853 - Phone
- (308) 381-5859
- NPI assigned
- Dec 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12372 | NE | Primary |
Addresses
Primary practice location
3501 S Locust St
Grand Island, NE 68801-8853
Mailing address
3501 S Locust St
Grand Island, NE 68801-8853
Phone (308) 381-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1043089683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 S LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688018853",
"telephone_number": "308-381-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688018853",
"telephone_number": "308-381-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLBURT",
"first_name": "MANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.