Therese Marie Acamo, PHARM.D.
Individual provider Active NPI Pharmacist · Elkhorn, NE
NPI 1043436587 · NPPES record last updated Nov 1, 2011
Key facts
- NPI
- 1043436587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12798 (NE)
- Practice address
- 1810 N 203Rd St
Elkhorn, NE 68022-2885 - Phone
- (402) 590-7808
- Fax
- (402) 289-1153
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12798 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12798 | NE | Yes |
Addresses
Primary practice location
1810 N 203Rd St
Elkhorn, NE 68022-2885
Mailing address
1810 N 203Rd St
Elkhorn, NE 68022-2885
Phone (402) 590-7808
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.