Active NPI
Guy Anthony Perkins, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1396022661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13655
- Practice address
- 7202 N 30TH St
Omaha, NE 68112-2819 - Phone
- (402) 457-5615
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13655 | NE | Primary |
| Pharmacist | 183500000X | 21473 | IA |
Addresses
Primary practice location
7202 N 30TH St
Omaha, NE 68112-2819
Mailing address
105 S 9TH St Apt 615
Omaha, NE 68102-1158
Phone (402) 202-7742
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21473 | IA | MD | Pharmacist |
| 13655 | NE | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1396022661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S 9TH ST APT 615",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021158",
"telephone_number": "402-202-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7202 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681122819",
"telephone_number": "402-457-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "GUY",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13655",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21473",
"primary": false
}
],
"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 Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.