Active NPI
Roldan J Sapitula, PHARM.D.
- Pharmacist
- Omaha, NE
National Provider Identifier
1275357709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18058
- Practice address
- 12741 Q St
Omaha, NE 68137-3211 - Phone
- (402) 895-3102
- Fax
- (402) 895-3155
- NPI assigned
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 18058 | NE | Primary |
Addresses
Primary practice location
12741 Q St
Omaha, NE 68137-3211
Mailing address
12741 Q St
Omaha, NE 68137-3211
Phone (402) 895-3102
Other practice location 1
2915 Leavenworth St
Omaha, NE 68105-2739
Phone (630) 890-0644
Other practice location 2
5002 Dodge St
Omaha, NE 68132-2906
Phone (402) 553-8901
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1275357709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12741 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373211",
"telephone_number": "402-895-3102",
"fax_number": "402-895-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12741 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373211",
"telephone_number": "402-895-3102",
"fax_number": "402-895-3155"
}
],
"practiceLocations": [
{
"address_1": "2915 Leavenworth St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681052739",
"country_code": "US",
"telephone_number": "630-890-0644",
"fax_number": "402-341-5207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5002 Dodge St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681322906",
"country_code": "US",
"telephone_number": "402-553-8901",
"fax_number": "402-553-0170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAPITULA",
"first_name": "ROLDAN",
"middle_name": "J",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "18058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.