Active NPI
Matthew Warren Wittmann, RP
- Pharmacist
- Lincoln, NE
National Provider Identifier
1134635923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9547
- Practice address
- 4900 N 27TH St
Lincoln, NE 68521-1194 - Phone
- (402) 438-3015
- Fax
- (402) 438-3132
- NPI assigned
- Dec 16, 2017
- Sex
- Male
- 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 | 9547 | NE | Primary |
Addresses
Primary practice location
4900 N 27TH St
Lincoln, NE 68521-1194
Mailing address
4900 N 27TH St
Lincoln, NE 68521-1194
Phone (402) 438-3015
Other practice location 1
8480 Andermatt Dr
Lincoln, NE 68526-9755
Phone (402) 975-6908
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 |
|---|---|---|---|
| 9547 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1134635923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211194",
"telephone_number": "402-438-3015",
"fax_number": "402-438-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211194",
"telephone_number": "402-438-3015",
"fax_number": "402-438-3132"
}
],
"practiceLocations": [
{
"address_1": "8480 Andermatt Dr",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685269755",
"country_code": "US",
"telephone_number": "402-975-6908",
"fax_number": "402-975-6903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITTMANN",
"first_name": "MATTHEW",
"middle_name": "WARREN",
"credential": "RP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "9547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.