Active NPI
Stephanie Olivia Popken, PHARM D
- Pharmacist
- Omaha, NE
National Provider Identifier
1073899977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13648
- Practice address
- 17909 Burke St
Omaha, NE 68118-2252 - Phone
- (402) 289-0808
- NPI assigned
- Oct 24, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13648 | NE | Primary |
| Pharmacist | 183500000X | 21474 | IA |
Addresses
Primary practice location
17909 Burke St
Omaha, NE 68118-2252
Mailing address
922 N 95TH PLZ
Apt 3
Omaha, NE 68114-2559
Phone (402) 305-1126
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21474 | IA | MD | Pharmacist |
| 13648 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1073899977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 N 95TH PLZ",
"address_2": "APT 3",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142559",
"telephone_number": "402-305-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17909 BURKE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182252",
"telephone_number": "402-289-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPKEN",
"first_name": "STEPHANIE",
"middle_name": "OLIVIA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13648",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21474",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.