Active NPI
Angela M Matney, PHARMD
- Pharmacist
- Bellevue, NE
National Provider Identifier
1184991945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11401
- Practice address
- Hwy 370 & Galvin Road
Bellevue, NE 68005 - Phone
- (402) 291-8400
- Fax
- (402) 291-0352
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11401 | NE | Primary |
Addresses
Primary practice location
Hwy 370 & Galvin Road
Bellevue, NE 68005
Mailing address
3218 Pedersen Dr
Omaha, NE 68144-3915
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11401 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1184991945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3218 PEDERSEN DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 370 & GALVIN ROAD",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68005",
"telephone_number": "402-291-8400",
"fax_number": "402-291-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATNEY",
"first_name": "ANGELA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.