70TH & O Neighborhood Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2744 Issued in NE

Legal business name

70TH & O NEIGHBORHOOD PHARMACY INC

Practice address

6811 O St
Lincoln, NE 68510-2422

Phone

(402) 488-1184

Fax

(402) 188-1187

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Scott Louderback

Title

President

Phone

(402) 488-1184

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LINCOLN NEIGHBORHOOD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1255381968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102196",
            "telephone_number": "402-488-1184",
            "fax_number": "402-488-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102422",
            "telephone_number": "402-488-1184",
            "fax_number": "402-188-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "70TH & O NEIGHBORHOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "LOUDERBACK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-488-1184"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025424100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN NEIGHBORHOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Lincoln, NE
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.