Individual provider Active NPI

Cara Lyndsay Sillman, PHARMD

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1093214256
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12317 Issued in NE
Practice address
18201 Wright St
Omaha, NE 68130-2875
Phone
(402) 330-3650
Fax
(402) 330-4503
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12317 NE Primary

Addresses

Primary practice location

18201 Wright St
Omaha, NE 68130-2875

Mailing address

17702 Pebble Cir
Omaha, NE 68136-1528
Phone (402) 250-5317

Other identifiers 1

IdentifierTypeStateIssuer
12317OtherNEPHARMACIST LICENSE

Other names 1

  • Cara Lyndsay Van Winkle Former name

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

LicenseStateTypeSpecialty
12317NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1093214256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17702 PEBBLE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361528",
            "telephone_number": "402-250-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 WRIGHT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302875",
            "telephone_number": "402-330-3650",
            "fax_number": "402-330-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLMAN",
        "first_name": "CARA",
        "middle_name": "LYNDSAY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "12317",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "VAN WINKLE",
            "middle_name": "LYNDSAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 2, 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.

Verify at the official NPI Registry.