Active NPI
Elizabeth Marie Porter, PHARM.D.
- Pharmacist
- Macy, NE
National Provider Identifier
1104859693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12435
- Practice address
- 923 Senior Cir
Macy, NE 68039-4018 - Phone
- (402) 837-4358
- Fax
- (402) 837-5381
- NPI assigned
- Jul 8, 2006
- Last updated
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 12435 | NE | Primary |
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
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 |
|---|---|---|---|
| 12435 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1104859693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HANKS WAY",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687765460",
"telephone_number": "402-385-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 SENIOR CIR",
"city": "MACY",
"state": "NE",
"postal_code": "680394018",
"telephone_number": "402-837-4358",
"fax_number": "402-837-5381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macy, NE
- Omaha Tribe of Nebraska
- Omaha Tribe of Nebraska (Carl T Curtis Health Ed Center Ambulance)
- Omaha Tribe of Nebraska (Carl T Curtis Health Ed Center Dental)
- Lorraine Donella Overgaard, RN
- Deanna Parker Galvin, PLMHP, PCMSW
- Gwendolyn Maria Porter, LIMHP, LCSW
- Carolyn Seymour
- Isaac Sherman Jr., EMT
- Cassidy Simons, DPT
- Michele Marie Smith, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.