Individual provider Active NPI

Rebecca Heneger

  • Pharmacy Technician
  • Omaha, NE
National Provider Identifier
1275939522
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
1021 Issued in NE
Practice address
13660 California St
Omaha, NE 68154-5233
Phone
(402) 965-8800
Fax
(402) 952-8025
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 1021 NE Primary

Addresses

Primary practice location

13660 California St
Omaha, NE 68154-5233

Mailing address

PO Box 407
Boys Town, NE 68010-0407
Phone (402) 965-8800

Other identifiers 1

IdentifierTypeStateIssuer
1021OtherNENEBRASKA PHARMACY TECH

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
1021NEMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1275939522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680100407",
            "telephone_number": "402-965-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 CALIFORNIA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545233",
            "telephone_number": "402-965-8800",
            "fax_number": "402-952-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEGER",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NE",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA PHARMACY TECH",
            "identifier": "1021",
            "state": "NE"
        }
    ],
    "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 14, 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.