Kimberly R Lueders, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10893 Issued in NE

Practice address

1200 Providence Rd
Wayne, NE 68787-1299

Phone

(402) 375-7920

Fax

(402) 375-7605

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Medical Center

  dba Providence Community Pharmacy

  • Community/Retail Pharmacy
  • Wayne, NE
  • NPI 1457819922
  Authorized official Same address or phone
• Providence Medical Center

  dba Providence Community Pharmacy

  • Long Term Care Pharmacy
  • Wayne, NE
  • NPI 1700626645
  Authorized official Same address or phone

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1063097327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PROVIDENCE RD",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871299",
            "telephone_number": "402-375-7920",
            "fax_number": "402-375-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PROVIDENCE RD",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871299",
            "telephone_number": "402-375-7920",
            "fax_number": "402-375-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Providence Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NE",
            "postal_code": "687871590",
            "country_code": "US",
            "telephone_number": "402-375-8862",
            "fax_number": "402-375-8863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEDERS",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A. Lindau, MD
• Shelby Lee Loberg
• Katrina Lombard
• Jared Ludwig
• Todd Luedeke, CRNA
• Magnuson Hopkins Eyecare PC (Evolving Eyecare)
• Larry M. Magnuson, OD
• Adam Manoucheri, PHARMD
• Alisyn Martin
• Kiley Maxon, LDH

• Pharmacist in Wayne, NE
• Providers in Wayne, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.