Individual provider Active NPI

Amy Lillian Deveney, R.PH.

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1134561624
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14289 Issued in NE
Practice address
16959 Evans PLZ
T-2326
Omaha, NE 68116-2388
Phone
(402) 970-1001
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14289 NE Primary

Addresses

Primary practice location

16959 Evans PLZ
T-2326
Omaha, NE 68116-2388

Mailing address

16959 Evans PLZ
T-2326
Omaha, NE 68116-2388
Phone (402) 970-1001

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14289NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1134561624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16959 EVANS PLZ",
            "address_2": "T-2326",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162388",
            "telephone_number": "402-970-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16959 EVANS PLZ",
            "address_2": "T-2326",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162388",
            "telephone_number": "402-970-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENEY",
        "first_name": "AMY",
        "middle_name": "LILLIAN",
        "name_prefix": "Dr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "14289",
            "primary": true
        }
    ],
    "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 Jul 24, 2013; 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.