Individual provider Active NPI

Roldan J Sapitula, PHARM.D.

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1275357709
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18058 Issued in NE
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

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.