NPIMap

Organization Active NPI

The Nebraska Medical Center

  • Community/Retail Pharmacy
  • Omaha, NE
National Provider Identifier
1487408993
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE NEBRASKA MEDICAL CENTER
Practice address
4014 Leavenworth St
Omaha, NE 68105-1026
Phone
(402) 552-7999
NPI assigned
Apr 12, 2024
Organization subpart
Yes
Parent organization
NEBRASKA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mary L Cavanaugh
Title
Sr Pharmacy Operations Analyst
Phone
(402) 552-3927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4014 Leavenworth St
Omaha, NE 68105-1026

Mailing address

770 N 114TH St
Omaha, NE 68154-1572
Phone (402) 552-3927

Other names 1

  • Nebraska Medicine Pharmacy at Lauritzen Outpatient Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Clarkson Primary Care16 organizations share this tax ID, including this one
Part of
Clarkson Primary Care

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1487408993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N 114TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541572",
            "telephone_number": "402-552-3927",
            "fax_number": "402-559-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051026",
            "telephone_number": "402-552-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEBRASKA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEBRASKA MEDICAL CENTER",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR PHARMACY OPERATIONS ANALYST",
        "authorized_official_telephone_number": "402-552-3927"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Medicine Pharmacy at Lauritzen Outpatient Center",
            "code": "5",
            "type": "Other 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 Apr 12, 2024; 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.