Active NPI
Kimberly Dawn Anderson
- Pharmacy Technician
- Omaha, NE
National Provider Identifier
1487955068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 2479
- Practice address
- 13831 Chalco Valley Pkwy Ste 101
Omaha, NE 68138-6145 - Phone
- (402) 592-5244
- Fax
- (402) 592-2501
- NPI assigned
- Nov 12, 2010
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 2479 | NE | Primary |
Addresses
Primary practice location
13831 Chalco Valley Pkwy Ste 101
Omaha, NE 68138-6145
Mailing address
13831 Chalco Valley Pkwy Ste 101
Omaha, NE 68138-6145
Phone (402) 592-5244
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1487955068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13831 CHALCO VALLEY PKWY STE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681386145",
"telephone_number": "402-592-5244",
"fax_number": "402-592-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13831 CHALCO VALLEY PKWY STE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681386145",
"telephone_number": "402-592-5244",
"fax_number": "402-592-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NE",
"license": "2479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.