Andrea Jean Skinner, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

10631 Issued in NE

Practice address

8300 Northern Lights Dr
Lincoln, NE 68505-3705

Phone

(402) 464-8302

Fax

(402) 464-8308

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Walgreen Co

  • Pharmacy
  • Lincoln, NE
  • NPI 1710992771
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1164145256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N 7TH ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684341414",
            "telephone_number": "605-760-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 NORTHERN LIGHTS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053705",
            "telephone_number": "402-464-8302",
            "fax_number": "402-464-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ANDREA",
        "middle_name": "JEAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IA",
            "license": "22949",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "SD",
            "license": "4735",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NE",
            "license": "10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SJT Pediatric Counseling LLC
• Dawn Lee Skala
• Laci A Skarboe-Majorins, RRT
• Jonathan M Skelton
• Elena Kristine Skillett, NP
• Sarah E Skinner, APRN
• Tawnya Skinner
• Michelle Sklenar, COTA/L
• Brooke Skoda
• Ronald Skoda

• Ambulatory Care Pharmacist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Ambulatory Care Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.