Active NPI
Mary Ann Hutfless, R.PH.
- Pharmacist
- Omaha, NE
National Provider Identifier
1396805628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8979
- Practice address
- 3440 S 50TH St
Omaha, NE 68106-3829 - Phone
- (402) 556-3000
- Fax
- (402) 991-7115
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- 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 | 8979 | NE | Primary |
Addresses
Primary practice location
3440 S 50TH St
Omaha, NE 68106-3829
Mailing address
3440 S 50TH St
Omaha, NE 68106-3829
Phone (402) 556-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8979 | Other | NE | REGISTERED PHARMACIST |
Other names 1
- Mary Ann Kochanowicz
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Medical, PC | Current | Accepting new patients |
Locations
3440 S 50th St
Omaha, NE 68106
Phone (402) 216-6020
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.
-
- Contractor
- Omaha, NE
- NPI 1376518837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396805628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 S 50TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063829",
"telephone_number": "402-556-3000",
"fax_number": "402-991-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 S 50TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063829",
"telephone_number": "402-556-3000",
"fax_number": "402-991-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTFLESS",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "8979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST",
"identifier": "8979",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "KOCHANOWICZ",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.