Systems Healthcorp Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2783 Issued in NE

Legal business name

SYSTEMS HEALTHCORP INC

Doing business as

QUANTUM MED PHARMACY

Practice address

3744 S 132ND St
Omaha, NE 68144-3608

Phone

(402) 339-4036

Fax

(402) 339-4081

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Essien Edet, RP

Title

President

Phone

(402) 339-4036

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• QUANTUM MED PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1144231655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443608",
            "telephone_number": "402-339-4036",
            "fax_number": "402-339-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443608",
            "telephone_number": "402-339-4036",
            "fax_number": "402-339-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMS HEALTHCORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "EDET",
        "authorized_official_first_name": "ESSIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-339-4036",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "2783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4119822600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2815489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUANTUM MED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeisha Sysel
• Stewart L Sysel, RPH
• Suzanne Claire Syslo, MOT
• Austin Sysouvanh
• Jessica Neeley Sysouvanh
• Amy L Sytsma, APRN
• Mary Szalewski
• Randi Lee Szemplenski
• Jacob Szocinski
• Kelsi Szurpicki

• Long Term Care Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Long Term Care Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.