Kelly Zacks, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16057 Issued in NE

Practice address

3001 Dodge St
Omaha, NE 68131-2627

Phone

(402) 343-3301

Fax

(402) 342-3455

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Omaha, NE
  • NPI 1265449292
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co.

  • Pharmacy
  • Santee, CA
  • NPI 1124262316
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1598047557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9719 S 123RD AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312627",
            "telephone_number": "402-343-3301",
            "fax_number": "402-342-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACKS",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.05741@pharmacy.walgreens.comg",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3001 Dodge St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681312627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sabrina Silvia Zach
• Terence L Zach, MD
• Laurence Alan Zacharia, MD
• Zachary R Korth DC PC
• Sara Kathryn Zachman, MD, MPH
• Robert J Zadalis, MD
• Lyric Zade
• Jamie Rae Zadina, PHARM.D., R.PH.
• Priscilla Zadina
• Maryam Zafar, MD

• Pharmacist in Omaha, NE
• Providers in Omaha, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.