Elizabeth Marie Porter, PHARM.D.
Individual provider Active NPI Pharmacist · Macy, NE
NPI 1104859693 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1104859693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12435 (NE)
- Practice address
- 923 Senior Cir
Macy, NE 68039-4018 - Phone
- (402) 837-4358
- Fax
- (402) 837-5381
- NPI assigned
- Jul 8, 2006
- 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 |
|---|---|---|---|
| 12435 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12435 | NE | Yes |
Addresses
Primary practice location
923 Senior Cir
Macy, NE 68039-4018
Mailing address
104 Hanks Way
South Sioux City, NE 68776-5460
Phone (402) 385-8043
Other providers in Macy, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. 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.