NPIMap

Organization Active NPI

Nebraska Medical Center

Doing business as Nebraska Medicine Kearney Pharmacy

  • Community/Retail Pharmacy
  • Kearney, NE
National Provider Identifier
1285394049
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NEBRASKA MEDICAL CENTER
Doing business as
Nebraska Medicine Kearney Pharmacy
Practice address
2232 Chancellors Ave
Room 1051
Kearney, NE 68845-2053
Phone
(308) 296-5800
Fax
(308) 865-2304
NPI assigned
Dec 21, 2021
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEBRASKA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mary Lynn Cavanaugh
Title
Sr Pharmacy Third Party Analyst
Phone
(402) 552-3927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2232 Chancellors Ave
Room 1051
Kearney, NE 68845-2053

Mailing address

989200 Nebraska Medical Ctr
Omaha, NE 68198-9200
Phone (402) 559-5215

Other names 1

  • Nebraska Medicine Kearney Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320002929 NE DME Supplier - Pharmacy 4284544461 Practice locations: Kearney, NE

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nebraska Medicine Kearney Pharmacy2232 Chancellors Ave, Kearney, NE 68845(308) 865-2303 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1997

National Provider Directory

National Provider Directory
Tax ID family
Clarkson Primary Care16 organizations share this tax ID, including this one
Part of
Clarkson Primary Care

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2232 Chancellors Ave
Rm 1051
Kearney, NE 68845
Phone (308) 296-5800

412 W 42nd St
Rm 7
Kearney, NE 68845

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Nebraska Medical CenterOmaha, NE, CCN 280013 Hospital Operational/Managerial Control Oct 1, 1997
Community Hospital AssociationFairfax, MO, CCN 261303 Hospital Operational/Managerial Control Oct 13, 2008
Community Hospital AssociationFairfax, MO, CCN 26Z303 Hospital Operational/Managerial Control Oct 13, 2008
Bellevue Medical Center - Nebraska MedicineBellevue, NE, CCN 280132 Hospital 5% Or Greater Direct Ownership Interest (100%)
Limited Partnership Interest (100%)		 Jul 1, 2015
Nov 6, 2009
South Holt Family MedicineOregon, MO, CCN 268753 Rural health clinic Operational/Managerial Control Jan 5, 2016
Mound City Family MedicineMound City, MO, CCN 268755 Rural health clinic Operational/Managerial Control Jan 5, 2016
Tarkio Family MedicineTarkio, MO, CCN 268771 Rural health clinic Operational/Managerial Control Jul 1, 2017
Fairfax Family MedicineFairfax, MO, CCN 268770 Rural health clinic Operational/Managerial Control Oct 3, 2018
Rock Port Family MedicineRock Port, MO, CCN 268779 Rural health clinic Operational/Managerial Control Jul 1, 2017

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1285394049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989200 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681989200",
            "telephone_number": "402-559-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 CHANCELLORS AVE",
            "address_2": "ROOM 1051",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452053",
            "telephone_number": "308-296-5800",
            "fax_number": "308-865-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEBRASKA MEDICAL CENTER",
        "enumeration_date": "2021-12-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SR PHARMACY THIRD PARTY ANALYST",
        "authorized_official_telephone_number": "402-552-3927"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Medicine Kearney Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nebraska Medicine Kearney Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.