Active NPI
Xenia Noutoua
- Pharmacist
- Omaha, NE
National Provider Identifier
1366827065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14882
- Practice address
- 1606 S 72ND St
Omaha, NE 68124-1600 - Phone
- (402) 393-9571
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 14882 | NE | Primary |
Addresses
Primary practice location
1606 S 72ND St
Omaha, NE 68124-1600
Mailing address
10766 Potter St
Omaha, NE 68122-1544
Phone (816) 616-9920
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 |
|---|---|---|---|
| 14882 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1366827065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10766 POTTER ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221544",
"telephone_number": "816-616-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 S 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241600",
"telephone_number": "402-393-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUTOUA",
"first_name": "XENIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14882",
"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 Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.