Active NPI
Jonathon Lamarque
- Pharmacist
- Hickman, NE
National Provider Identifier
1073985362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14563
- Practice address
- 18780 S 68TH St Ste B
Hickman, NE 68372-7083 - Phone
- (402) 792-0006
- Fax
- (402) 792-0010
- NPI assigned
- Oct 26, 2015
- Last updated
- Feb 13, 2018
- Sex
- Male
- 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 | 14563 | NE | Primary |
Addresses
Primary practice location
18780 S 68TH St Ste B
Hickman, NE 68372-7083
Mailing address
6510 Beaver Creek LN
Lincoln, NE 68516-3347
Phone (831) 277-1871
Other practice location 1
1600 S 48th St
Pharmacy Department
Lincoln, NE 68506-1283
Phone (402) 481-3145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14563 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowlark Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Meadowlark Pharmacy
- Community/Retail Pharmacy
- Hickman, NE
- NPI 1841798683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1073985362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 BEAVER CREEK LN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163347",
"telephone_number": "831-277-1871",
"fax_number": "402-792-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18780 S 68TH ST STE B",
"city": "HICKMAN",
"state": "NE",
"postal_code": "683727083",
"telephone_number": "402-792-0006",
"fax_number": "402-792-0010"
}
],
"practiceLocations": [
{
"address_1": "1600 S 48th St",
"address_2": "Pharmacy Department",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685061283",
"country_code": "US",
"telephone_number": "402-481-3145",
"fax_number": "402-481-8722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMARQUE",
"first_name": "JONATHON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-26",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickman, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.