Active NPI
Erin McClelland, PHARMD
- Pharmacist
- La Vista, NE
National Provider Identifier
1437426103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12350
- Practice address
- 8380 Harrison St
Walgreens Store 4754
La Vista, NE 68128-2918 - Phone
- (402) 592-7990
- Fax
- (402) 592-7377
- NPI assigned
- Nov 24, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12350 | NE | Primary |
| Pharmacist | 183500000X | 20360 | IA |
Addresses
Primary practice location
8380 Harrison St
Walgreens Store 4754
La Vista, NE 68128-2918
Mailing address
8380 Harrison St
Walgreens Store 4754
La Vista, NE 68128-2918
Phone (402) 592-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36192042510 | Medicaid | NE |
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 |
|---|---|---|---|
| 20360 | IA | MD | Pharmacist |
| 12350 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322092800000",
"number": "1437426103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8380 HARRISON ST",
"address_2": "WALGREENS STORE 4754",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282918",
"telephone_number": "402-592-7990",
"fax_number": "402-592-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 HARRISON ST",
"address_2": "WALGREENS STORE 4754",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282918",
"telephone_number": "402-592-7990",
"fax_number": "402-592-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-24",
"last_updated": "2011-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12350",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20360",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36192042510",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.