Kevin Barlow
Individual provider Active NPI Pharmacist · Oneill, NE
NPI 1164019196 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1164019196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12517 (NE)
- Practice address
- 317 E Douglas St
Oneill, NE 68763-1829 - Phone
- (402) 336-2660
- Fax
- (402) 336-2661
- NPI assigned
- Dec 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12517 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneill Family Pharmacy Inc | Current |
Accepting new patients | |
| Oneill Family Pharmacy Inc | Pharmacist | Past |
Accepting new patients |
Locations
317 E Douglas St
Oneill, NE 68763
Phone (402) 336-2660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12517 | NE | Yes |
Addresses
Primary practice location
317 E Douglas St
Oneill, NE 68763-1829
Mailing address
317 E Douglas St
Oneill, NE 68763-1829
Phone (402) 336-2660
Other providers in Oneill, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. 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.