Cancer Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

679 Issued in NE

Legal business name

CANCER SPECIALTY PHARMACY LLC

Doing business as

Cancer Specialty Pharmacy

Practice address

17545 Gold PLZ
Omaha, NE 68130-5602

Phone

(402) 334-6100

Fax

(402) 334-6118

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Darla R Duree, PHARM DNPI 1679531750

Title

Pharmacy Manager

Phone

(402) 334-6100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cancer Specialty Pharmacy Doing business as

Locations

Practitioners 1

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

• Darla Rae Duree, PHARM.D.

  • Pharmacist
  • Omaha, NE
  • NPI 1679531750
  NPD (past) Authorized official

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1215488788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17545 GOLD PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-334-6100",
            "fax_number": "402-334-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17545 GOLD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681305602",
            "telephone_number": "402-334-6100",
            "fax_number": "402-334-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "DUREE",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "402-334-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricardo Campuzano Gonzalez
• Shatika Canada-Rivera
• Chabliss Canady
• Hannah E Canady
• Alaine Holley Canas
• Pamela Liset Canchari Ames
• Samantha Canchola
• Rosa Angelica Cancino, MD
• Vanessa Cancino
• Candace Mizaur LLC

• Community/Retail Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.