Elizabeth Deanna Boals-Shively, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

13388 Issued in NE

Practice address

1621 Front St
Henderson, NE 68371-8902

Phone

(402) 723-4445

Fax

(402) 723-4986

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1417854472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 FRONT ST",
            "city": "HENDERSON",
            "state": "NE",
            "postal_code": "683718902",
            "telephone_number": "402-723-4445",
            "fax_number": "402-723-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 FRONT ST",
            "city": "HENDERSON",
            "state": "NE",
            "postal_code": "683718902",
            "telephone_number": "402-723-4445",
            "fax_number": "402-723-4986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 N French Ave",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "NE",
            "postal_code": "689792215",
            "country_code": "US",
            "telephone_number": "402-773-2130",
            "fax_number": "402-773-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOALS-SHIVELY",
        "first_name": "ELIZABETH",
        "middle_name": "DEANNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Glen Baldwin, PHARMD
• Allison M Bauer, P.A.
• City of Henderson (Henderson Rescue Service)
• Donald Frank Norris (Henderson Pharmacy)
• Ashley Freeman, RD
• Jennifer Goossen
• Grace Childrens Home Inc

• Pharmacist in Henderson, NE
• Providers in Henderson, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.