NPIMap

Organization Active NPI

Oncology Hematology West, PC

  • Community/Retail Pharmacy
  • Omaha, NE
National Provider Identifier
1164833307
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ONCOLOGY HEMATOLOGY WEST, PC
Practice address
17201 Wright St Ste 204
Omaha, NE 68130-2042
Phone
(402) 691-1502
NPI assigned
May 9, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Robert Langdon, MDNPI 1689654618
Title
President
Phone
(402) 334-4773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141015001078 NE DME Supplier - Pharmacy 8426030024 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory
Tax ID family
Oncology Hematology W PC3 organizations share this tax ID

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7710 Mercy Rd
#122
Omaha, NE 68124
Phone (402) 393-3110

17201 Wright St
Ste 204
Omaha, NE 68130
Phone (402) 614-1005

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

17201 Wright St Ste 204
Omaha, NE 68130-2042

Mailing address

17201 Wright St Ste 200
Omaha, NE 68130-2042

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100264399-00MedicaidNE

Other names 1

NPPES NPI Registry
  • NCS Outpatient Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2021.

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1164833307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 WRIGHT ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 WRIGHT ST STE 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302042",
            "telephone_number": "402-691-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY HEMATOLOGY WEST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-334-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264399-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCS Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NCS Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.