Active NPI
Jude K. Kebeh
- Pharmacist
- Omaha, NE
National Provider Identifier
1295488872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17301
- Practice address
- 2929 N 60TH St
Omaha, NE 68104-3414 - Phone
- (402) 551-6151
- Fax
- (402) 556-6389
- NPI assigned
- Feb 2, 2022
- Last updated
- Feb 23, 2023
- 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 | 17301 | NE | Primary |
Addresses
Primary practice location
2929 N 60TH St
Omaha, NE 68104-3414
Mailing address
2929 N 60TH St
Omaha, NE 68104-3414
Phone (402) 551-6151
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17301 | NE | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2929 N 60th St
Omaha, NE 68104
Phone (402) 551-6151
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1295488872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 N 60TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043414",
"telephone_number": "402-551-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 N 60TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043414",
"telephone_number": "402-551-6151",
"fax_number": "402-556-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEBEH",
"first_name": "JUDE",
"middle_name": "K.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "17301",
"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 Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.