Individual provider Active NPI

Haili J Kreifels, PHARMD

  • Pharmacist
  • Genoa, NE
National Provider Identifier
1316539232
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11704 Issued in NE
Practice address
508 Willard Ave
Genoa, NE 68640-3039
Phone
(402) 993-2400
Fax
(402) 993-2421
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD09640 AR
Pharmacist 183500000X 11704 NE Primary

Addresses

Primary practice location

508 Willard Ave
Genoa, NE 68640-3039

Mailing address

PO Box 10
Genoa, NE 68640-0010
Phone (402) 993-2400

Other names 1

  • Ms. Haili J Bonde Former name

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

State licenses

LicenseStateTypeSpecialty
PD09640ARMDPharmacist
11704NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Community Pharmacy PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1316539232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686400010",
            "telephone_number": "402-993-2400",
            "fax_number": "402-993-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WILLARD AVE",
            "city": "GENOA",
            "state": "NE",
            "postal_code": "686403039",
            "telephone_number": "402-993-2400",
            "fax_number": "402-993-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIFELS",
        "first_name": "HAILI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09640",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILI",
            "last_name": "BONDE",
            "middle_name": "J",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Genoa, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.