Individual provider Active NPI

Kevin Barlow

  • Pharmacist
  • O'Neill, NE
National Provider Identifier
1164019196
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12517 Issued in NE
Practice address
317 E Douglas St
Oneill, NE 68763-1829
Phone
(402) 336-2660
Fax
(402) 336-2661
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12517 NE Primary

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

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

LicenseStateTypeSpecialty
12517NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oneill Family Pharmacy Inc CurrentSince Dec 27, 2020 Accepting new patients
Oneill Family Pharmacy Inc Pharmacist PastSince Dec 27, 2020 Accepting new patients

Locations

317 E Douglas St
Oneill, NE 68763
Phone (402) 336-2660

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1164019196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E DOUGLAS ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631829",
            "telephone_number": "402-336-2660",
            "fax_number": "402-336-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E DOUGLAS ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631829",
            "telephone_number": "402-336-2660",
            "fax_number": "402-336-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Neill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.