Active NPI
Alixa RX LLC
- Long Term Care Pharmacy
- Omaha, NE
National Provider Identifier
1396174892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ALIXA RX LLC
- Practice address
- 11225 Davenport St
Suite 104a
Omaha, NE 68154-2641 - Phone
- (479) 201-8290
- NPI assigned
- Nov 5, 2013
- Last updated
- Mar 30, 2018
- Organization subpart
- Yes
- Parent organization
- MARINA PHARMACY CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Huan Nguyen
- Title
- Vice President
- Phone
- (972) 372-6300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 550 | NE | |
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
11225 Davenport St
Suite 104a
Omaha, NE 68154-2641
Mailing address
6400 Pinecrest Dr Ste 200
Plano, TX 75024-2962
Phone (214) 778-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026399500 | Medicaid | NE |
National Provider Directory
National Provider Directory- Tax ID family
- Alixa RX LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
Locations
11225 Davenport St
Ste 104A
Omaha, NE 68154
Phone (479) 201-8290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522368000000",
"number": "1396174892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 PINECREST DR STE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750242962",
"telephone_number": "214-778-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 DAVENPORT ST",
"address_2": "SUITE 104A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542641",
"telephone_number": "479-201-8290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIXA RX LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARINA PHARMACY CORP",
"enumeration_date": "2013-11-05",
"last_updated": "2018-03-30",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "HUAN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "972-372-6300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NE",
"license": "550",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026399500",
"state": "NE"
}
],
"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 Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.