Debra Humphrey, PHARM.D.
Individual provider Active NPI Pharmacist · Waverly, NE
NPI 1477902245 · NPPES record last updated Jun 12, 2016
Key facts
- NPI
- 1477902245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11014 (NE)
- Practice address
- 10311 N 150TH St
Waverly, NE 68462-1608 - Phone
- (402) 440-1403
- NPI assigned
- Jun 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014 | NE | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11014 | NE | Yes |
Addresses
Primary practice location
10311 N 150TH St
Waverly, NE 68462-1608
Mailing address
10311 N 150TH St
Waverly, NE 68462-1608
Phone (402) 440-1403
Other providers in Waverly, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.