Individual provider Active NPI

Justin Barenberg

  • Pharmacist
  • MC Cook, NE
National Provider Identifier
1275416596
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18290 Issued in NE
Practice address
902 N Highway 83
MC Cook, NE 69001-2981
Phone
(308) 345-5670
Fax
(308) 345-5676
NPI assigned
Jul 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18290 NE Primary

Addresses

Primary practice location

902 N Highway 83
MC Cook, NE 69001-2981

Mailing address

902 N Highway 83
MC Cook, NE 69001-2981
Phone (308) 345-5670

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

State licenses

LicenseStateTypeSpecialty
18290NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1275416596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N HIGHWAY 83",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690012981",
            "telephone_number": "308-345-5670",
            "fax_number": "308-345-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N HIGHWAY 83",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690012981",
            "telephone_number": "308-345-5670",
            "fax_number": "308-345-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARENBERG",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "18290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Cook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.