Active NPI
Kirsten Lee Busse
- Pharmacist
- Omaha, NE
National Provider Identifier
1588847651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15190-040
- Practice address
- 11134 Q St
Omaha, NE 68137-3609 - Phone
- (402) 592-5244
- Fax
- (402) 592-2501
- NPI assigned
- Dec 12, 2007
- Last updated
- Oct 3, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15190-040 | WI | Primary |
Addresses
Primary practice location
11134 Q St
Omaha, NE 68137-3609
Mailing address
W162N9235 Pershing Ave
Menomonee Falls, WI 53051-4026
Phone (262) 946-6070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15190-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1588847651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W162N9235 PERSHING AVE",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530514026",
"telephone_number": "262-946-6070",
"fax_number": "262-946-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11134 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373609",
"telephone_number": "402-592-5244",
"fax_number": "402-592-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSE",
"first_name": "KIRSTEN",
"middle_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "15190-040",
"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 Oct 3, 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.