Nebraska LTC Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEBRASKA LTC PHARMACY

Practice address

284 N 115TH St
Omaha, NE 68154-2521

Phone

(402) 328-0231

Fax

(402) 328-0234

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Hammerschmidt

Title

Owner

Phone

(402) 328-0231

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Nebraska LTC Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Nebraska LTC Pharmacy

  • Pharmacy
  • Lincoln, NE
  • NPI 1679869267
  NPD tax ID

Locations

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1528615853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 N 115TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542521",
            "telephone_number": "402-328-0231",
            "fax_number": "402-328-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 N 115TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542521",
            "telephone_number": "402-328-0231",
            "fax_number": "402-328-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA LTC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "HAMMERSCHMIDT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-328-0231"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026035300",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "McKessonConnect",
            "affiliation": "N",
            "endpointDescription": "PharmacySoftware",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 N 115th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681542521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Retail Pharmacy in Omaha, NE
• Providers in Omaha, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.