Active NPI
Nathan L Suck, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1578103644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16494
- Practice address
- 2115 S 61St St
Omaha, NE 68106-2129 - Phone
- (308) 218-1527
- NPI assigned
- Jan 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16494 | NE | Primary |
Addresses
Primary practice location
2115 S 61St St
Omaha, NE 68106-2129
Mailing address
2115 South 61St Street
RPM
Omaha, NE 68106
Phone (308) 218-1527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16494 | Other | NE | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 16494 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1578103644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 SOUTH 61ST STREET",
"address_2": "RPM",
"city": "OMAHA",
"state": "NE",
"postal_code": "68106",
"telephone_number": "308-218-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 S 61ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062129",
"telephone_number": "308-218-1527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCK",
"first_name": "NATHAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "16494",
"state": "NE"
}
],
"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 Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.