NPIMap

Organization Active NPI

Precision Compounding Pharmacy Inc

Doing business as Precision Compounding Pharmacy

  • Compounding Pharmacy
  • Omaha, NE
National Provider Identifier
1174839914
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
2872 Issued in NE
Legal business name
PRECISION COMPOUNDING PHARMACY INC
Doing business as
Precision Compounding Pharmacy
Practice address
15722 W Center Rd
Omaha, NE 68130-1859
Phone
(402) 932-6373
Fax
(402) 932-6068
NPI assigned
Aug 30, 2010
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Nancy Johnson
Title
Owner
Phone
(402) 932-6373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 2872 NE Primary

Addresses

Primary practice location

15722 W Center Rd
Omaha, NE 68130-1859

Mailing address

15722 W Center Rd
Omaha, NE 68130-1859
Phone (402) 932-6373

Other identifiers 1

IdentifierTypeStateIssuer
2818182OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Precision Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

15722 W Center Rd
Omaha, NE 68130
Phone (402) 932-6373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1174839914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15722 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301859",
            "telephone_number": "402-932-6373",
            "fax_number": "402-932-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15722 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301859",
            "telephone_number": "402-932-6373",
            "fax_number": "402-932-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-932-6373"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NE",
            "license": "2872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2818182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Compounding 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 4, 2013; 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.